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Q FeverFrom: Cheri Van Hoover (cherivh@waonline.com)Wed Nov 27 12:51:40 1996
Last night we delivered a patient who had acquired Q fever during her pregnancy. She works with goats as an animal control officer. She delivered a healthy-appearing infant without problem, but the Health Department wanted her refrigerated placenta for analysis and some cord blood. I am pretty ignorant about Q fever and its implications for the mother's future health and/or what effects if could have on the fetus if acquired vertically. Would it be transmitted transplacentally or would it be acquired by exposure to mom's blood and secretions, like HIV or HepB? I've checked the books I have lying around the house and have a little better grasp of its mode of transmission (ticks) and pathogenic organism (rickettsii), but my sources did not address the affects of this infection on pregnancy. The potential for becoming a carrier was also mentioned by my consulting physician last night, but was not addressed in the scanty literature I could find on my shelves. Do any of you have insights about this disease which would help me understand it a little better if I were to encounter it again? Apparently there has been a small epidemic in our area brought in by some imported goat herd. Blood, secretion, and respiratory precautions were employed and the LDR room was "terminally cleaned" after the delivery. Is this truly indicated in someone who has had the disease and recovered? How is carrier status determined? Thanks for letting me pick your collective brains...
-- Cheri Van Hoover, CNM Kaiser Hospital Redwood City, CA
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