Case-based MCQ

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Harrison's Podclass Illuminating and engaging discussions on key principles of internal medicine, around board-style case vignettes from the acclaimed  Harrison’s Self Assessment and Board Review https://accessmedicine.mhmedical.com/multimedia.aspx#1330 ✍ Case-based MCQ

⏳ Case-based MCQ | #Case_413 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ C Diagnosis of Q fever is by serum testing for antibodies against the organism (C is correct). The organism, a rickettsia, does not grow in standard media on a Petri dish. A vaccine is also available for high risk individuals, such as abattoir workers, with occupational exposure. This patient has Q (for Query) fever, and the most common source of infection of this rickettsial disease is among individuals who may come into contact with the primary reservoir of Coxiella burnetii- cattle. The organism is excreted in the milk, urine and faeces of infected animals. Abattoir workers are particularly at risk from inhalation of infected dust from hides, causing pulmonary and systemic sepsis. The workplace environment can be an important source of infection. It is obviously important in such cases to obtain an accurate history of, not only the type and place of work, but recent travel, drug and sexual habits, and contacts with other potential infected individuals

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⏳ Case-based MCQ | #Case_413 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 An abattoir worker has presented with a one-week history of sore throat, chills and sweats, associated with diarrhoea and vomiting. He initially had a nonproductive cough but now has developed pneumonia. Several other workers from the same meat works have also been ill and you suspect the patient may have Q fever (Coxiella burnetii infection).

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