以不明熱來表現急性Q熱之一位急性中風老年病人

Acute Q Fever Presenting as Fever of Unknown Origin in an Elderly Patient with Acute Thalamic Hemorrhage

連子賢(Tzu-Hsien Lien) ； 盧豐華(Feng-Hwa Lu) ； 張家銘(Chia-Ming Chang)

《台灣老年醫學暨老年學雜誌》 12卷1期 (2017/02) Pp. 55-63

https://doi.org/10.29461/TGG.201702_12(1).0005

摘要

Q熱是一種由立克次氏體屬的革蘭氏陰性菌貝氏考克斯菌(Coxiella burnetii)所造成之遍及全球的人畜共生傳染病。其主要動物儲主為山羊、綿羊及牛。人類被傳染通常是經由吸入貝氏考克斯菌感染的動物排泄物(如尿液、糞便或乳汁)以及生產過程時的胎兒產物(如胎盤組織、羊水、或子宮排出物)所散發的懸浮微粒。急性Q熱的病人通常是以急性發燒伴隨非典型症狀諸如類流感或肺炎的症狀，或肝功能指數升高或血小板低下徵候來表現。Q熱也是熱帶國家中最常被忽視的傳染病之一，因此我們提出起初以不明熱表現，最後確診為急性Q熱感染之93歲女性病例。

關鍵字

Q熱 ； 不明熱 ； 老年人

並列摘要

Q fever is a worldwide zoonotic infectious disease caused by Coxiella burnetii, a Gram-negative obligate intracellular bacterium. The major animal reservoirs of Coxiella burnetii are goats, sheep, and cattle. Humans are usually infected by aerosols contaminated with Coxiella burnetii excreted by an infected animal through fetal products, milk, urine and feces. Patients with acute Q fever commonly present with acute febrile illness with non-specific symptoms and signs, such as influenza-like illness, increased transaminases, thrombocytopenia, or pneumonia. It is also one of the most commonly neglected infectious diseases in tropical regions. We herein present the case of a 93-year-old female with fever of unknown origin later diagnosed to be acute Q fever infection.

並列關鍵字

Q fever ； unknown fever ； elderly