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Difficult management of Pediatric Acute Q Fever

dc.contributor.authorCosta Figueiredo, Rafael
dc.contributor.authorR. Monteiro, Diana
dc.contributor.authorRebelo, Ana Isabel
dc.contributor.authorAzevedo, Ana
dc.contributor.authorFreitas de Oliveira, Sara
dc.contributor.authorTavares, Sara
dc.date.accessioned2021-11-02T10:07:30Z
dc.date.available2021-11-02T10:07:30Z
dc.date.issued2021-09
dc.description.abstractIntroduction: Q fever, a zoonosis caused by Coxiella burnetti, is relatively rare in the pediatric population. The disease is often asymptomatic or with mild clinical presentation in children. Case report: A four-year-old boy with persistent fever, severe anemia, and positive IgM for Coxiella burnetti was treated with trimethoprim-sulfamethoxazole and azithromycin, with no improvement. After polymerase chain reaction confirmation, he completed 14 days of doxycycline, with good response. After eleven months, the child remains asymptomatic. Discussion: Despite having a usually mild presentation, the severe clinical progression and lack of response to initial antibiotic therapy in this case prompt the use of doxycycline, a non-consensual drug in younger ages, with good results. New recommendations endorse the use of this drug for short periods at any age.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCosta Figueiredo R, R. Monteiro D, Rebelo AI, Azevedo A, Freitas de Oliveira S, Tavares S, Nascer e Crescer - Birth and Growth Medical Journal 2020;30(3): 179-182. doi:10.25753/BirthGrowthMJ.v30.i3.17089pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v30.i3.17089pt_PT
dc.identifier.issn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2517
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.relation.publisherversionhttps://revistas.rcaap.pt/nascercrescer/article/view/17089pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAcute Q feverpt_PT
dc.subjectDoxycyclinept_PT
dc.subjectPediatric Q feverpt_PT
dc.titleDifficult management of Pediatric Acute Q Feverpt_PT
dc.title.alternativeFebre Q pediátrica. Um caso de difícil abordagempt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePorto, Portugalpt_PT
oaire.citation.endPage182pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage179pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume30pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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