Coxiella Burnetti: - Gram Negative Coccobacilli

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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

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