Q Fever

Q FeverQ FEVER is an acute rickettsioses disease characterized by General intoxication, fever, and frequent lung damage. Refers to zoonoses. The infection may transmissible, contact, nutritional and airborne dust through. Etiology, pathogenesis. The causative agent is Rickettsia of Berneta. Stable in the environment. Not inactivated by drying, remains in dairy products after pasteurization. Gates infection is often the mucous membranes of the respiratory tract or pisauridae th tract. Route of infection determines the clinical manifestations. When airborne dust infection occurs lesion of bronchus and often peribronchial inflammation of the lung tissue. Hematogenous affects other organs. The symptoms for. The incubation period lasts more 14-19 days. The disease begins acutely. The body temperature rises to 38-39 gr. With the fever lasts 1 to 2 weeks, although in some cases may take up to a month. Characterized by large diurnal swings in temperature, accompanied by chills and then; muscle pain, headache, soreness of the eyeballs. The skin of the face and neck hyperemic vessels injected sclera. There are hypotension, bradycardia. Symptoms of respiratory appear usually with 3 or 4-th day of disease: dry cough, soreness in the chest, dry, and then fine-bubble moist rales, rarely revealed shortening of percussion sound. Radiological changes in the lungs predominantly interstitial (peribronchial) nature, against which individual patients have focal infiltrative changes. By the end of the week, increased liver and spleen. In the convalescence period remains for a long time asthenia; full rehabilitation occurs 2-4 weeks. There may be recurrences of the disease. When the diagnosis is taken into account staying in endemic areas. Differentiate from ornithosis, mycoplasmosis, acute pneumonia, leptospirosis, brucellosis, hypoparathyroid diseases. Evidence is the detection of specific antibodies using RAC. Treatment. Tetracycline daily dose of 0.8-1.2 g or chloramphenicol 2 g/day. The rate of flow of 8-10 days. During the febrile period, impose 5% glucose solution or isotonic sodium chloride 500-1000 ml/assign complex vitamins, if it affects the lungs additionally, it is recommended that oxygen therapy, bronchodilators. The forecast is favorable. The ability to work completely recovered. Prevention. The fight against q fever farm animals. Milk from sick animals should be boiled. According to indications in the pockets of fever Ku spend prophylaxis. The patient is not dangerous to others..



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