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Nascer e Crescer
versão impressa ISSN 0872-0754versão On-line ISSN 2183-9417
Resumo
FIGUEIREDO, Rafael Costa et al. Difficult management of pediatric acute Q fever. Nascer e Crescer [online]. 2021, vol.30, n.3, pp.179-182. Epub 30-Set-2021. ISSN 0872-0754. https://doi.org/10.25753/birthgrowthmj.v30.i3.17089.
Introduction:
Q fever, a zoonosis caused by Coxiella burnetti, is relatively rare in the pediatric population. The disease is often asymptomatic or with mild clinical presentation in children.
Case report:
A four-year-old boy with persistent fever, severe anemia, and positive IgM for Coxiella burnetti was treated with trimethoprim-sulfamethoxazole and azithromycin, with no improvement. After polymerase chain reaction confirmation, he completed 14 days of doxycycline, with good response. After eleven months, the child remains asymptomatic.
Discussion:
Despite having a usually mild presentation, the severe clinical progression and lack of response to initial antibiotic therapy in this case prompt the use of doxycycline, a non-consensual drug in younger ages, with good results. New recommendations endorse the use of this drug for short periods at any age.
Palavras-chave : acute Q fever; doxycycline; pediatric Q fever.