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Blood cultures, however, are not necessary for outpatient diagnosis. Klempner MS, Styrt B.
Prevention of recurrent staphylococcal skin infections with low-dose oral clindamycin therapy. Microbiologic evaluation of cutaneous cellulitis in adults. Comparison of short-course 5 days and standard 10 days treatment for uncomplicated cellulitis.
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Complete Product Information. Johns Hopkins Guide,. Fabre V, Bartlett JG. The Johns Hopkins University.
Fabre. Cellulitis.Fernandez and Dr M. Daarna volgt een uitnodiging voor een.
AU - Bartlett, John, M. E pidemiology Q fever is a zoonotic disease. The epidemiology and animal reservoir varies by country.
The most common animal reservoirs are cattle, sheep and goats. Cats are the primary reservoir for Q fever in Nova Scotia, Canada and occasional cases have been linked to dogs.
Q fever has been reported from all continents except New Zealand and Antarctica, but the precise incidence is unknown because diagnostic tests are usually not performed and reporting of cases is not required.
C linical Manifestations Q fever has two major manifestations in man, acute and chronic infection.
Acute Q fever has a variety of clinical presentations including self-limited febrile illness, pneumonia, hepatitis, meningoencephalitis, and pericarditis.
Rarely it is a cause of constrictive pericarditis 4. Chronic Q fever is a much more serious illness and almost always means endocarditis, although infection of an aortic prosthesis or aneurysm is another manifestation of chronic Q fever 38.
While still not adequately described in man, it is likely that Q fever during pregnancy results in chronic uterine infection with relapse during subsequent pregnancies as it does in other female mammals 27.
L aboratory Diagnosis Because the illness is often nonspecific in clinical presentation, laboratory testing is necessary to confirm the diagnosis.
Since most laboratories do not have the capability to isolate the organism, serologic tests are most common means of diagnosis including complement fixation and indirect fluorescent antibody tests.
A four-fold rise in antibody titer is considered diagnostic.