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https://hdl.handle.net/2440/5830
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Type: | Journal article |
Title: | Post-infection fatigue syndrome following Q fever |
Author: | Ayres, J. Flint, N. Smith, E. Tunnicliffe, W. Fletcher, T. Hammond, K. Ward, D. Marmion, B. |
Citation: | QJM: an international journal of medicine, 1998; 91(2):105-123 |
Publisher: | OXFORD UNIV PRESS |
Issue Date: | 1998 |
ISSN: | 1460-2393 1460-2393 |
Statement of Responsibility: | J.G. Ayres, N. Flint, E.G. Smith , W.S. Tunnicliffe, T.J. Fletcher, K. Hammond, D. Ward and B.P. Marmion |
Abstract: | In 1989, 147 individuals in the West Midlands, UK, were infected with Q fever. Five years later, following anecdotal reports of fatigue, we used a questionnaire-based case-control study to determine the prevalence of chronic fatigue syndrome symptoms in this group. Replies from 71 patients were compared with those from 142 age- and sex-matched controls. Increased sweating (52.9% vs. 31.6%, p = 0.006), breathlessness (50.7% vs. 30.6%, p = 0.006), blurred vision (34.3% vs. 17.8%, p = 0.016) and undue tiredness (68.7% vs. 51.5%, p = 0.03) were found in controls compared to cases. These findings were similar to those in Australian abbatoir workers occupationally exposed to Q fever. CDC criteria for chronic fatigue syndrome were fulfilled by 42.3% of cases and 26% of controls. Using visual analogue scores, symptoms were more severe in cases than in controls. Our findings support the existence of a chronic fatigue state following acute Q fever, in a group of patients exposed just once to the organism, and in circumstances free of such confounding factors as lawsuits over compensation. |
Keywords: | Humans Coxiella burnetii Q Fever Fatigue Syndrome, Chronic Acute Disease Prevalence Case-Control Studies Middle Aged Child Female Male Surveys and Questionnaires |
Rights: | © Oxford University Press 1998 |
DOI: | 10.1093/qjmed/91.2.105 |
Published version: | http://dx.doi.org/10.1093/qjmed/91.2.105 |
Appears in Collections: | Aurora harvest 5 Pathology publications |
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