- 2023, Volume 54 - Number 4
- Published: November 15, 2023
Acute Q fever and pulmonary tuberculosis in pediatric age: a case report
Maria Sousa-Dias 1, Joanna Ashworth 2, Mariana Meneses 1, Sofia Jordão 3, Marco Pereira 1
1 Department of Pediatrics, Hospital Pedro Hispano, Matosinhos, Portugal; 2 Department of Pediatrics, Centro Materno Infantil do Norte, Porto, Portugal; 3 Department of Infeciology, Hospital Pedro Hispano, Matosinhos. Portugal
Maria Sousa-Dias, Joanna Ashworth, Mariana Meneses, Sofia Jordão, Marco Pereira
La información completa de afiliaciones y autor de correspondencia está disponible en la versión original en PDF.
*Correspondence: Joanna Ashworth, Email not available
Abstract
In pediatric age groups, fever of unknown origin composes a diagnostic challenge due to its multiple possible etiologies. A high percentage of those cases is caused by infections. In this article, we describe the clinical case of an adolescent with atypical pneumonia caused by simultaneous infection of Coxiella burnetti and Mycobacterium tuberculosis. In children, tuberculosis is a known cause of prolonged fever and high mortality. Diagnosis of Q fever is less prevalent, but its importance has been highly increasing. The clinical picture outlined here improved after pursuing the treatment for acute Q fever. Nevertheless, it is essential to emphasize the importance of identification and treatment for both infections. This association is rare since this is the third case reported in the literature and the first one in pediatric age.
