 |
|
Q FeverA Call to Heighten Our Index of Suspicion
Dean G. Sienko, MD;
Paul C. Bartlett, DVM, MPH;
Harry B. McGee, MPH;
Berttina B. Wentworth, PhD;
Joy L. Herndon, MS;
William N. Hall, MD, MPH
Arch Intern Med. 1988;148(3):609-612.
Abstract
• The prevalence of Q fever infection is probably underestimated. In Michigan, the first two reported human cases of Q fever occurred in 1984. The case-patients lived in adjacent, rural counties and had multiple exposures to goats. We conducted a serosurvey of goat owners and a reference population to compare the prevalence of Q fever antibodies in the two-county area. Goat owners were almost three times more likely to be seropositive with Q fever antibodies than the reference population (43% vs 15%). Among goat owners, individual and household seropositivity prevalences were positively correlated with the number of goats, the number of positive goats, and the number of goat births on the farm. Q fever should be considered more often in the differential diagnosis of patients with compatible illness, especially those with frequent animal contact.
(Arch Intern Med 1988;148:609-612)
Author Affiliations
From the Michigan Department of Public Health (Drs Sienko, Wentworth, and Hall and Mr McGee), Lansing; the Divisions of Field Services (Dr Sienko) and Surveillance and Epidemiologic Studies (Ms Herndon), Epidemiology Program Office, Centers for Disease Control, Atlanta; and the School of Veterinary Medicine, Michigan State University, East Lansing (Dr Bartlett).
Footnotes
Accepted for publication Oct 10, 1987.
Reprint requests to Center for Health Promotion, Michigan Department of Public Health, 3500 N Logan, PO Box 30035, Lansing, MI 48909 (Dr Sienko).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Acute Q Fever
DOMINGO et al.
Arch Intern Med 1990;150:695-698.
ABSTRACT
Q Fever
Musher
Arch Intern Med 1988;148:2508-2508.
ABSTRACT
|
