Coxiella burnetti is an intracellular, gram-negative bacterium that causes Q fever in animals and humans. It can survive for years in dust and soil. Infection occurs through inhalation of the bacterium, which then replicates within monocytes and macrophages in the lungs and spreads hematogenously to other organs. Clinical manifestations vary from asymptomatic to acute or chronic pneumonia, hepatitis, or endocarditis. Diagnosis involves isolation of the organism from tissues or serological testing for antibodies. Treatment is with doxycycline for at least a week for mild cases or a month for endocarditis. Vaccination can help prevent occupational exposure.
Coxiella burnetti is an intracellular, gram-negative bacterium that causes Q fever in animals and humans. It can survive for years in dust and soil. Infection occurs through inhalation of the bacterium, which then replicates within monocytes and macrophages in the lungs and spreads hematogenously to other organs. Clinical manifestations vary from asymptomatic to acute or chronic pneumonia, hepatitis, or endocarditis. Diagnosis involves isolation of the organism from tissues or serological testing for antibodies. Treatment is with doxycycline for at least a week for mild cases or a month for endocarditis. Vaccination can help prevent occupational exposure.
Coxiella burnetti is an intracellular, gram-negative bacterium that causes Q fever in animals and humans. It can survive for years in dust and soil. Infection occurs through inhalation of the bacterium, which then replicates within monocytes and macrophages in the lungs and spreads hematogenously to other organs. Clinical manifestations vary from asymptomatic to acute or chronic pneumonia, hepatitis, or endocarditis. Diagnosis involves isolation of the organism from tissues or serological testing for antibodies. Treatment is with doxycycline for at least a week for mild cases or a month for endocarditis. Vaccination can help prevent occupational exposure.
Coxiella burnetti is an intracellular, gram-negative bacterium that causes Q fever in animals and humans. It can survive for years in dust and soil. Infection occurs through inhalation of the bacterium, which then replicates within monocytes and macrophages in the lungs and spreads hematogenously to other organs. Clinical manifestations vary from asymptomatic to acute or chronic pneumonia, hepatitis, or endocarditis. Diagnosis involves isolation of the organism from tissues or serological testing for antibodies. Treatment is with doxycycline for at least a week for mild cases or a month for endocarditis. Vaccination can help prevent occupational exposure.
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Coxiella burnetti
Gram negative coccobacilli
Intracellular replicates with in the host monocytes and macrophages Very hardy it can survive in dust and soil for years Animals get infection like this by breathing Organism concentrates in fetal/placental fluids & tissues Morphology Has 2 life cycle stages Large cell variant is vegetative form seen in infected monocytes and macrophages Small cell variant seen extracellularly and is infectious form, this can survive exposure to physical and chemical disruption. Pathogenesis Mode of Infection Inhalation Proliferation in lungs ,with atypical pneumonia Haematogenous spread to liver and bone marrow, spleen Disease varies from asymptomatic to acute subacute to chronic or granulamatous disease in liver, grow inside phagolysosomes T cell mediated granuloma formation Clinical Manifestations Mild self limiting fever, headache ,nausea Arthralgia, Myalgia & nonproductive cough pulmonary disease, meningitis ,pericarditis /endocarditis Fever with influenza like syndrome Post Q fever chronic fatigue syndrome Spontaneous recovery in mild cases Diagnosis of Q fever 1. Isolation of Organism 2. Serological Testing Isolation requires bio safety level 3 Use of tissue culture ,lab animals and embryonated eggs Serology is ideal Using phase 1& 2 antigens IgM ELISA ,Indirect immunofluorescence PCR Treatment & Prevention Treatment with tetracycline orally for a week In case of endocarditis for a month Adequate Pasteurization of milk Vaccine (formalinized phase 1) to prevent occupational exposure