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Q Fever: An Emerging Reality in Portugal

dc.contributor.authorLencastre Monteiro, Rita
dc.contributor.authorNascimento, Rui
dc.contributor.authorDiogo, Joana
dc.contributor.authorBernardino, Rita
dc.contributor.authorNazário Leão, Rodrigo
dc.date.accessioned2023-12-18T16:48:57Z
dc.date.available2023-12-18T16:48:57Z
dc.date.issued2021-10
dc.description.abstractQ fever is a zoonosis caused by Coxiella burnetii with worldwide distribution at the increasing expression in Europe and endemic in Portugal. It is transmitted by inhalation of aerosols containing spores, main reservoir being cattle, goats and sheep as by ingesting cottage cheese or unpasteurized milk. The majority of patients are asymptomatic; however, they may present with fever, atypical pneumonia, acute hepatitis, cutaneous manifestations and rarely with cardiac or neurological involvement. Although most cases are self-limited, focal persistent or chronic Q fever can manifest years after the onset, wherefore follow-up is essential. The clinical heterogeneity may be so variable that the disease is often diagnosed only if it has been systematically considered. It should be especially taken into account in the presence of risk factors as valvular or joint prostheses, immunocompromised patients, pregnant women and epidemiological setting. The authors present a rare case of Coxiella burnetii pneumonia with cutaneous and hepatic manifestations without any risk factor. This case aims to emphasize the importance of Q fever in the differential diagnosis of fever or atypical pneumonia, even in the absence of known risk factors. The diagnosis is often challenging for clinicians and it is necessary to maintain a high index of suspicion. In Europe and specifically in Portugal is mandatory to report the cases to establish the real impact of this disease.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLencastre Monteiro R, Nascimento R, Diogo J, Bernardino R, Nazário Leão R. Q Fever: An Emerging Reality in Portugal. Cureus. 2021;13(10):e19018. doi:10.7759/cureus.19018pt_PT
dc.identifier.doi10.7759/cureus.19018pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2893
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://www.cureus.com/articles/71492-q-fever-an-emerging-reality-in-portugal#!/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectatypical pneumoniapt_PT
dc.subjectCoxiella burnetiidpt_PT
dc.subjectendemicpt_PT
dc.subjectPortugalpt_PT
dc.subjectq feverpt_PT
dc.titleQ Fever: An Emerging Reality in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPagee19018pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume13pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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