Titre : | Neurological complications of acute Q fever infection. (2004) |
Auteurs : | Diamantis-P KOFTERIDIS ; Achilleas GIKAS ; Elias-E MAZOKOPAKIS ; Yiannis TSELENTIS ; University of Crete School of Medicine and University Hospital. Department of Clinical Bacteriology Parasitology Zoonosis and Geographical Medicine. Heraklion Crete. GRC ; University of Crete School of Medicine and University Hospital. Department of Internal Medicine. Heraklion Crete. GRC |
Type de document : | Article |
Dans : | European journal of epidemiology (vol. 19, n° 11, 2004) |
Pagination : | 1051-1054 |
Langues: | Anglais |
Mots-clés : | Infection ; Système nerveux [pathologie] ; Méningite ; Fièvre Q ; Rickettsiose ; Bactériose ; Bactérie ; Epidémiologie ; Homme |
Résumé : | [BDSP. Notice produite par INIST-CNRS R0x4b4Yt. Diffusion soumise à autorisation]. Coxiella burnetii the agent of Q fever produces a variety of clinical syndromes. Central nervous system (CNS) involvement is reported to be a rare feature of the disease usually presented as a severe headache and rarely as meningoencephalitis. We retrospectively studied the medical records of 49 patients with clinical signs of CNS involvement. Among 121 patients with acute Q fever infection 49 (40.5%) had some degree of neurological involvement, varying from a severe headache in the majority of the patients (40.5%) to confusion (4.1%) and meningitis (0.8%). The majority of these patients with CNS involvement (91%) had been admitted to the hospital as community acquired pneumonia. The clinical evidence of CNS involvement is not a rare feature of acute Q fever infection and Coxiella burnetii should be considered as a possible etiology of meningitis or meningoencephalitis in endemic areas. |