Discover and read the best of Twitter Threads about #Coxiella
Most recents (2)
#idboardreview 30 goat farmer helped w/ goats birth 20d ago now presents w/ fever, rigors, severe retrobulbar headache, dyspnea, hepatitis. Dx? #medEd #idmedEd #IDtwitter 
#coxiella burnetti (Q fever) manifest as a self-limited febrile illness, pneumonia, endocarditis, or hepatitis. There are many other less common manifestations, such as meningitis, encephalitis, and osteomyelitis. Infections are divided into acute and chronic forms.
#Qfever zoonosis usually acquired by inhalation or, much less commonly, by ingesting unpasteurized milk
Cattle, sheep, goats most common reservoirs
Infected parturient cats are important in spread in some areas
-extensive wildlife reservoir
-Windborne spread occur over 10 km
Cattle, sheep, goats most common reservoirs
Infected parturient cats are important in spread in some areas
-extensive wildlife reservoir
-Windborne spread occur over 10 km
Images of Infectious Diseases
74M Iowa farmer s/p Dacron graft repair of abdominal aortic aneurysm
2y later: back pain
MRI (photo) + enhancement of graft + aneurysm
Surgery (photo): bacteria, fungi/TB cultures (-)
DIF with anti-Coxiella Ab in fibroblasts (photo).
(MCQ next)
74M Iowa farmer s/p Dacron graft repair of abdominal aortic aneurysm
2y later: back pain
MRI (photo) + enhancement of graft + aneurysm
Surgery (photo): bacteria, fungi/TB cultures (-)
DIF with anti-Coxiella Ab in fibroblasts (photo).
(MCQ next)
In a 74M farmer with multilevel vertebral osteomyelitis and soft tissue abscess contiguous with vascular graft and mycotic aneurysm, which serological pattern is most consistent with a diagnosis of chronic Q fever? #MayoIDQ (PI phase 1; PII phase 2 titers)
1/
Case diagnosis: Chronic #Coxiella burnetti infection (#QFever): vascular graft, vertebral osteomyelitis, soft tissue abscesses
MCQ answer: choice B
Description reported by @AbinashVirkMD, @DOCElie and colleagues
ncbi.nlm.nih.gov/pmc/articles/P…
Case diagnosis: Chronic #Coxiella burnetti infection (#QFever): vascular graft, vertebral osteomyelitis, soft tissue abscesses
MCQ answer: choice B
Description reported by @AbinashVirkMD, @DOCElie and colleagues
ncbi.nlm.nih.gov/pmc/articles/P…
