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Q fever


The acute rickettsial disease characterized by general toxic phenomena, often with fever and SARS. Pathogen - small microorganism. It is very resistant to drying, heat, UV radiation. The reservoir and source of infection are different wild and domestic animals, as well as mites. Infection of humans occurs by contact with them, the use of dairy products and by inhalation of dust. The disease is detected throughout the year, but more often in the spring and summer. Q fever is widely distributed around the globe, natural foci were found on 5 continents.
Symptoms and over:
The incubation period lasts 14-19 days. The disease begins acutely with chills. The body temperature rises to 38-39 ± C and kept 3-5 days. Characterized by significant fluctuations in temperature, accompanied by the repeated chills and sweating. Expressed symptoms of intoxication (headache, muscle-joint pain, soreness of the eyeballs, deterioration of appetite). The facial skin is moderately hyperemic rash is rare. In some patients, painful dry cough joins with 3-5 days of illness. Pulmonary lesions clearly identified with the X-ray focal shadows in the form of a rounded shape. In the future, there are the typical signs of pneumonia. Tongue dry, coated. Also observed an increase in liver (50%) and spleen. Urine output decreased in the urine of significant changes there. Recovery is slow (2-4 weeks). Long-lasting lethargy, low-grade fever, decreased disability. Relapses occur in 4-20% of patients.
Treatment:
Apply tetracycline ililevomitsetin 0.2-0.3 g 0.5 g every 6 hours for 8-10 days. At the same time appoint an intravenous infusion of 5% glucose solution, a complex of vitamins, according to testimony - oksigepoterapiyu, blood transfusion, cardiovascular agents.
Prevention:
Held fight against KU-rickettsiosis pets. Premises for cattle disinfected 10% bleach solution. Milk from diseased animals boil. In natural foci recommended combating mites, apply repellent funds. For specific prevention of Q fever vaccinate persons in contact with animals. Patients with Q fever do not pose a great danger to the surrounding people.