Coxiella burnetii: an unusual ENT pathogen

Coxiella burnetii, the causative agent of Q fever, is a prevalent zoonotic disease manifestating usually as atypical pneumonia or hepatitis. We describe 2 cases of serologically proven infection by Coxiella burnetii whose primary manifestations arose from the upper respiratory tract and were initial...

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Bibliographic Details
Published inAmerican journal of otolaryngology Vol. 25; no. 4; pp. 263 - 265
Main Authors Pappas, Georgios, Giannoutsos, Christos, Christou, Leonidas, Tsianos, Epaminondas
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.07.2004
Elsevier
Elsevier Limited
Subjects
Adult
Antibodies, Bacterial - blood
Biological and medical sciences
Coxiella burnetii - immunology
Coxiella burnetii - pathogenicity
Female
Humans
Immunoglobulin G - blood
Immunoglobulin M - blood
Laryngitis - microbiology
Lymphatic Diseases - microbiology
Male
Medical sciences
Otorhinolaryngology. Stomatology
Q Fever - blood
Q Fever - diagnosis
Q Fever - immunology
Respiratory Tract Infections - blood
Respiratory Tract Infections - immunology
Respiratory Tract Infections - microbiology
Tonsillitis - microbiology
Transaminases - blood
Human
Rickettsialosis
Upper respiratory tract
ENT
Infection
Rickettsiales
Case study
Rickettsial infection
Q fever
Bacteriosis
Bacteria
Rickettsieae
Coxiella burnetii
Rickettsiaceae
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Summary:Coxiella burnetii, the causative agent of Q fever, is a prevalent zoonotic disease manifestating usually as atypical pneumonia or hepatitis. We describe 2 cases of serologically proven infection by Coxiella burnetii whose primary manifestations arose from the upper respiratory tract and were initially referred to the ear, nose, and throat (ENT) department. This is the first related report in medical literature. A 20-year-old woman with fever, bilateral tonsillitis, lymphadenopathy, and mild aminotransferase elevation, and a 30-year old man with spiking fever and laryngitis are presented. Diagnosis in both cases was achieved through evolving serological response to Coxiella burnetii. The importance of including the pathogen in the differential diagnosis of ENT patients, in assorted epidemiological settings, and the significance of the proper antibiotic selection are further discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2004.01.006