Pediatric acute Q fever mimics other common childhood illnesses.

Knowledge of Q fever has increased over the last decades, but research has mainly focused on adults. Data in children are scarce, and current knowledge is mostly based on case reports. The aim of this study was to determine predictors for acute Q fever in children in the general population. We retro...

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Autores principales:	Ingeborg Y Bart, Yvonne Schabos, Roeland W N M van Hout, Alexander C A P Leenders, Esther de Vries
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6c6c810bd8ac4aa9a1d7ccdab79ebecf
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spelling	oai:doaj.org-article:6c6c810bd8ac4aa9a1d7ccdab79ebecf2021-11-18T08:33:05ZPediatric acute Q fever mimics other common childhood illnesses.1932-620310.1371/journal.pone.0088677https://doaj.org/article/6c6c810bd8ac4aa9a1d7ccdab79ebecf2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24520412/?tool=EBIhttps://doaj.org/toc/1932-6203Knowledge of Q fever has increased over the last decades, but research has mainly focused on adults. Data in children are scarce, and current knowledge is mostly based on case reports. The aim of this study was to determine predictors for acute Q fever in children in the general population. We retrospectively studied all children tested for Coxiella burnetii by serology and/or PCR upon request of their general practitioner in the regional laboratory for Medical Microbiology of the Jeroen Bosch during the Q fever outbreak in the Netherlands between 2007 and 2011. A total of 1061 patients was analyzed. Influenza-like illness and respiratory tract infection were the most common presentations of acute Q fever, mimicking other common childhood illnesses. None of the reported symptoms was significantly related to a positive test outcome and therefore presenting signs or symptoms have no predictive value in diagnosing Q-fever in children. Only diagnostic tests are reliable. As the infection generally follows a mild and uncomplicated course, we question if the difficulty of recognizing pediatric Q fever is a problem worth solving.Ingeborg Y BartYvonne SchabosRoeland W N M van HoutAlexander C A P LeendersEsther de VriesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e88677 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ingeborg Y Bart Yvonne Schabos Roeland W N M van Hout Alexander C A P Leenders Esther de Vries Pediatric acute Q fever mimics other common childhood illnesses.
description	Knowledge of Q fever has increased over the last decades, but research has mainly focused on adults. Data in children are scarce, and current knowledge is mostly based on case reports. The aim of this study was to determine predictors for acute Q fever in children in the general population. We retrospectively studied all children tested for Coxiella burnetii by serology and/or PCR upon request of their general practitioner in the regional laboratory for Medical Microbiology of the Jeroen Bosch during the Q fever outbreak in the Netherlands between 2007 and 2011. A total of 1061 patients was analyzed. Influenza-like illness and respiratory tract infection were the most common presentations of acute Q fever, mimicking other common childhood illnesses. None of the reported symptoms was significantly related to a positive test outcome and therefore presenting signs or symptoms have no predictive value in diagnosing Q-fever in children. Only diagnostic tests are reliable. As the infection generally follows a mild and uncomplicated course, we question if the difficulty of recognizing pediatric Q fever is a problem worth solving.
format	article
author	Ingeborg Y Bart Yvonne Schabos Roeland W N M van Hout Alexander C A P Leenders Esther de Vries
author_facet	Ingeborg Y Bart Yvonne Schabos Roeland W N M van Hout Alexander C A P Leenders Esther de Vries
author_sort	Ingeborg Y Bart
title	Pediatric acute Q fever mimics other common childhood illnesses.
title_short	Pediatric acute Q fever mimics other common childhood illnesses.
title_full	Pediatric acute Q fever mimics other common childhood illnesses.
title_fullStr	Pediatric acute Q fever mimics other common childhood illnesses.
title_full_unstemmed	Pediatric acute Q fever mimics other common childhood illnesses.
title_sort	pediatric acute q fever mimics other common childhood illnesses.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/6c6c810bd8ac4aa9a1d7ccdab79ebecf
work_keys_str_mv	AT ingeborgybart pediatricacuteqfevermimicsothercommonchildhoodillnesses AT yvonneschabos pediatricacuteqfevermimicsothercommonchildhoodillnesses AT roelandwnmvanhout pediatricacuteqfevermimicsothercommonchildhoodillnesses AT alexandercapleenders pediatricacuteqfevermimicsothercommonchildhoodillnesses AT estherdevries pediatricacuteqfevermimicsothercommonchildhoodillnesses
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Pediatric acute Q fever mimics other common childhood illnesses.

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