A Rare Case of Q Fever Osteomyelitis in a Child From Regional Australia

P N Britton; K Macartney; S Arbuckle; D Little; A Kesson

doi:10.1093/jpids/piu095

A Rare Case of Q Fever Osteomyelitis in a Child From Regional Australia

J Pediatric Infect Dis Soc. 2015 Sep;4(3):e28-31. doi: 10.1093/jpids/piu095. Epub 2014 Oct 17.

Authors

P N Britton¹, K Macartney¹, S Arbuckle², D Little³, A Kesson¹

Affiliations

¹ Department of Microbiology and Infectious Diseases Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Australia.
² Department of Anatomical Pathology, Children's Hospital at Westmead, Sydney.
³ Department of Orthopaedics Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Australia.

PMID: 26407439
DOI: 10.1093/jpids/piu095

Abstract

Q fever osteomyelitis is a rare disease. We report an eighth pediatric case from regional Australia. Serology is the first-line diagnostic test, with confirmation by PCR on tissue specimens. In endemic settings, Q fever should be considered in the differential diagnosis of chronic osteomyelitis; in particular, presumed chronic-recurrent multifocal osteomyelitis should be considered a possible presentation of Q fever osteo-articular disease in children.

Keywords: Australia; Q fever; child; osteomyelitis.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / therapeutic use
Child, Preschool
Diagnosis, Differential
Female
Gram-Negative Bacterial Infections / complications
Gram-Negative Bacterial Infections / diagnosis*
Gram-Negative Bacterial Infections / drug therapy*
Humans
Osteolysis / diagnostic imaging
Osteomyelitis / diagnosis*
Osteomyelitis / drug therapy
Osteomyelitis / etiology
Osteomyelitis / surgery
Q Fever / complications
Q Fever / diagnosis*
Q Fever / drug therapy*
Rare Diseases

Substances

Anti-Bacterial Agents