Pediatric Q Fever in a Rural Area in Kazakhstan: A Case Report
| Author | Meruyert Bayakhmetova | en |
| Author | Yuliya V. Perfilyeva | en |
| Author | Gulzhan Narkenovna Abuova | en |
| Author | Yekaterina O. Ostapchuk | en |
| Author | Moldir M. Kuatbek | en |
| Author | Akerke O. Bissenbay | en |
| Author | Sukhrab S. Akhrarov | en |
| Author | Andrey M. Dmitrovskiy | en |
| Orcid | Meruyert Bayakhmetova [0000-0002-5168-3548] | en |
| Orcid | Yuliya V. Perfilyeva [0000-0001-6803-0773] | en |
| Orcid | Gulzhan Narkenovna Abuova [0000-0002-1210-2018] | en |
| Orcid | Yekaterina O. Ostapchuk [0000-0002-3771-423X] | en |
| Orcid | Moldir M. Kuatbek [0000-0003-4023-4314] | en |
| Orcid | Akerke O. Bissenbay [0000-0002-7109-2534] | en |
| Orcid | Andrey M. Dmitrovskiy [0000-0003-4714-3079] | en |
| Issued Date | 2025-08-31 | en |
| Abstract | Introduction: Q fever is a zoonotic disease with variable clinical manifestations and potentially fatal complications. Although the infection is rare, it is more common in rural areas where livestock are kept. Case Presentation: On December 18, 2022, a 10-month-old boy from a village in the Turkestan region of Kazakhstan was admitted to the hospital with a fever of 38.5 - 39.0°C, dry cough, and general weakness. An X-ray revealed signs of right-sided bronchopneumonia. The patient received empirical antibiotic treatment and corticosteroid therapy. Retrospective enzyme-linked immunosorbent assay (ELISA) tests demonstrated that his acute phase serum was positive for antibodies against Coxiella burnetii phase I antigens and negative for antibodies against C. burnetii phase II antigens. Considering the young age of the patient, which rules out a possible previous C. burnetii infection, along with the clinical presentation, epidemiological factors (such as the consumption of unpasteurized goat milk), and serological data, the child was retrospectively diagnosed with Q fever. He responded well to treatment with cefazolin. Conclusions: In Kazakhstan, medical personnel have a low suspicion of Q fever in patients, mainly due to low awareness and the non-specific symptoms of the infection. This study aims to demonstrate the importance of recognizing Q fever as a possible cause of illness in children in the southern region of Kazakhstan. | en |
| DOI | https://doi.org/10.5812/archcid-157805 | en |
| Keyword | Pediatric Q Fever | en |
| Keyword | Bronchopneumonia | en |
| Keyword | Kazakhstan | en |
| Keyword | <i>Coxiella burnetii</i> | en |
| Publisher | Brieflands | en |
| Title | Pediatric Q Fever in a Rural Area in Kazakhstan: A Case Report | en |
| Type | Case Report | en |
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