Q fever in an American tourist returned from Australia

Summary Q fever was diagnosed in a previously healthy man who had recently traveled to the East Coast of Australia. The patient experienced fever and headache accompanied by lymphopenia and elevated liver enzymes but not pneumonia. He had no known direct exposures to animals, exhibited IgM and IgG s...

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Bibliographic Details
Published in:Travel medicine and infectious disease 2007-05, Vol.5 (3), p.194-195
Main Authors: Cohen, Nicole J, Papernik, Morris, Singleton, Joseph, Segreti, John, Eremeeva, Marina E
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Antigens, Bacterial - blood
Armed forces
Australia
Coxiella burnetii
Coxiella burnetii - immunology
Dairy products
Diagnosis, Differential
Doxycycline - therapeutic use
Fever
Hepatitis
Humans
Infectious Disease
Insect bites
Male
Q fever
Q Fever - blood
Q Fever - diagnosis
Q Fever - drug therapy
Q Fever - pathology
Studies
Travel
Travel medicine
United States
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Summary:Summary Q fever was diagnosed in a previously healthy man who had recently traveled to the East Coast of Australia. The patient experienced fever and headache accompanied by lymphopenia and elevated liver enzymes but not pneumonia. He had no known direct exposures to animals, exhibited IgM and IgG seroconversion to phase II antigen of Coxiella burnetii and IgM only to phase I antigen, and responded to doxycycline treatment. This case serves as a reminder to clinicians to consider Q fever in the differential diagnosis of acute febrile illness in travelers returning from endemic areas.
ISSN:1477-8939
1873-0442
DOI:10.1016/j.tmaid.2006.09.002