1例Q热肺炎诊治报告

Diagnosis and treatment of A case of Q fever pneumonia

Q热是一种重要的人兽共患病,病原体为贝氏柯克斯体(Coxiella burnetii),其经呼吸道吸入进入体内,引起急性Q热,严重急性Q热可出现肺炎、肝炎或心肌炎并发症。部分患者治疗不彻底转为慢性Q热。慢性Q热为贝氏柯克斯体在机体局部持续感染,常需要外科手术及数年抗感染治疗,其严重危害患者身体健康及加重家庭经济负担;。追其原因是临床医生对该病认识不足,导致延误治疗所致。本文旨在报告1例Q热肺炎的诊治和体会,以提高临床医生对该病认识。

Q fever is an important zoonotic disease,caused by Coxiella burnetii invading into bodies through respiratory tract.Q fever is divided into acute and chronic form.acute Q fever can present as a febrile illness with pneumonia,hepatitis and/or myocarditis.Some of the acute Q fever cases may develop into chronic Q fever by their unfair treatment.Chronic Q fever is a persistent infection of C.burnetii in the location parts of the patients and required a surgical and long-term anti-pathogen treatment,which seriously endangers the patients and aggravates the economic burden of the patient?s families.This paper aims is to improve the knowledge of the diagnosis and treatment of Q fever pneumonia among clinicians.