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Q fever in Plymouth, 1972-88 A review with particular reference to neurological manifestations Reilly S; Northwood JL; Caul EOEpidemiol Infect 1990[Oct]; 105 (2): 391-408Between 1972 and 1988 we have serologically confirmed 103 Coxiella burnetii infections: 46 were acute, 5 were chronic, 52 represented past infections. Details of 61 cases are presented. Of acute cases 80% had respiratory involvement; at least 63% had pneumonias. The incidence (22%) of neurological complications was of particular interest; 40% of these patients had prolonged sequelae. One acutely ill patient died of fulminating hepatitis. Patients with pre-existing pathology or immunosuppression were especially susceptible to C. burnetii. In the absence of acute sera, the complement fixation test alone provided inadequate differentiation between recent and past Q fever: phase II titres persisted at greater than or equal to 80 for more than 1 year after the acute infection in 15 cases; maximum duration of persistence was 14 years. Three patients acquired high phase I titres. Only 5% of cases had chronic Q fever, but in view of the diverse sequelae observed in this series, we suggest that long-term serological and clinical follow-up of all cases of Q fever is fully justified.|Acute Disease[MESH]|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Child[MESH]|Chronic Disease[MESH]|Complement Fixation Tests[MESH]|England/epidemiology[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Nervous System Diseases/etiology[MESH]|Pneumonia/complications/epidemiology[MESH]|Q Fever/complications/*epidemiology[MESH]|Respiratory Tract Infections/complications/epidemiology[MESH]|Retrospective Studies[MESH] |
