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PERE DOMINGO, MD; JOSEP OROBITG, MD; JESÚS COLOMINA, MD; ELVIRA ALVAREZ, MD; JOSEP CADAFALCH, MD
Barcelona, Spain

Arch Intern Med. 1990;150(3):695-698.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—We agree with Musher1 that physicians need to be reminded of the importance and occurrence of Q fever in endemic areas, as well as in urban hospitals where its occurrence may not be so frequent.

We have reviewed our experience with 38 patients who had acute Q fever and were cared for at our hospital in the last 7 years. The Hospital de la Santa Creu i Sant Pau, Barcelona, Spain, is a 900-bed community hospital located downtown, and provides health care for an estimated population of 530 000. There were 35 men (92.1%) and 3 women (7.9%). All the patients represented sporadic cases. The majority of our patients (34[89.5%]) were living in Barcelona and 4 of them (10.5%) reported having visited the countryside. Twenty-one cases (55.2%) occurred during spring. Eighteen patients (47.3%) presented with clinical and roentgenographic features consistent with pneumonia, whereas 16 patients (42.1%) had . . . [Full Text PDF of this Article]

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