[Chronic Q fever during pregnancy]. / Chronische Q-koorts tijdens de zwangerschap.
Ned Tijdschr Geneeskd
; 155: A2781, 2011.
Article
em Nl
| MEDLINE
| ID: mdl-21329539
ABSTRACT
A 42-year-old woman visited the pulmonologist for follow-up after a pneumonia. In retrospect the pneumonia appeared to be a manifestation of an acute Q fever infection. A few weeks later the patient was found to be unexpectedly pregnant. At the normal serological follow-up six months after the primary infection chronic Q fever infection was diagnosed. Doxycycline and hydroxychloroquine are contraindicated in pregnancy and the patient was found to be allergic to co-trimoxazole. Therefore treatment with erythromycin was chosen on empirical grounds. The patient had many symptoms during pregnancy. After 38 weeks and 2 days amenorrhea labour was induced on maternal indication. Finally a healthy boy of 3850 grams was born by caesarean section. In view of the increased risk of chronic Q fever infection during pregnancy we advise intensified serological monitoring of patients with acute Q fever who subsequently become pregnant.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Infecciosas na Gravidez
/
Febre Q
Idioma:
Nl
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Holanda