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Truckin' pneumonia—an outbreak of Q fever in a truck repair plant probably due to aerosols from clothing contaminated by contact with newborn kittens

Published online by Cambridge University Press:  15 May 2009

Thomas J. Marrie
Affiliation:
Departments of Medicine and Microbiology, Dalhousie University and the Victoria General Hospital and the Cobequid Health Unit, Nova Scotia Department of Health
Donald Langille
Affiliation:
Departments of Medicine and Microbiology, Dalhousie University and the Victoria General Hospital and the Cobequid Health Unit, Nova Scotia Department of Health
Vasilia Papukna
Affiliation:
Departments of Medicine and Microbiology, Dalhousie University and the Victoria General Hospital and the Cobequid Health Unit, Nova Scotia Department of Health
Linda Yates
Affiliation:
Departments of Medicine and Microbiology, Dalhousie University and the Victoria General Hospital and the Cobequid Health Unit, Nova Scotia Department of Health
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Summary

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We describe an outbreak of Q fever affecting 16 of 32 employees at a truck repair plant. None of the cases were exposed to cattle, sheep or goats. the traditional reservoirs of Q fever. The cases did not work, live on, or visit farms or attend livestock auctions. One of the employees had a cat which gave birth to kittens 2 weeks prior to the first case of Q fever in the plant. The cat owner fed the kittens every day before coming to work as the cat would not let the kittens suckle. Serum from the cat had high antibody titres to phase I and phase II Coxiella burnetii antigens. The attack rate among the employees where the cat owner worked. 13 of 19 (68%), was higher than that of employees elsewhere, 3 of 13 (28%) [P <0·01]. The cat owner's wife and son also developed Q fever. None of the family members of the other employees with Q fever was so affected.

We conclude that this outbreak of Q fever probably resulted from exposure to the contaminated clothing of the cat owner.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1989

References

REFERENCES

Babudieri, B. (1959). Q fever: a zoonosis. Advances in Veterinary Science 5, 81181.Google Scholar
Christie, A. B. (1980). Q fever. In Infectious Diseases: Epidemiology and Clinical Practice. pp. 800812. New York: Churchill, Livingstone.Google Scholar
Derrick, E. H. (1937). “Q” fever, new fever entity: clinical features, diagnosis and laboratory investigation. Medical Journal of Australia 2, 281299.CrossRefGoogle Scholar
Dupuis, J. G., Petite, J., Peter, O. & Vouilloz, M. (1987). An important outbreak of human Q fever in a Swiss Alpine Valley. International Journal of Epidemiology 16, 282287.CrossRefGoogle Scholar
Edlinger, E. A. (1987). Q fever in France. Zentralblatt für Bakteriologie Mikrobiologie und Hygiene Series A 267, 2629.CrossRefGoogle ScholarPubMed
Gillespie, J. H. & Baker, J. A. (1952). Experimental Q fever in cats. American Journal of Veterinary Research 13, 1994.Google ScholarPubMed
Johnson, D. W. (1966). Epidemiology of Q fever in Queensland: A seven year survey. Medical Journal of Australia 1, 121125.CrossRefGoogle ScholarPubMed
Kosatsky, T. (1984). Household outbreak of Q fever related to a parturient cat. Lancet 2. 11471149.Google ScholarPubMed
Leedom, J. M. (1980). Q fever; an update. In Current Clinical Topics in Infectious Diseases. eds (Remington, J. S, Schwartz, M. N), pp. 304331. New York: McGraw-Hill.Google Scholar
McCaul, T. F. & Williams, J. C. (1981). Development cycle of Coxiella burnetii. Structure and morphogenesis of vegetative and sporagenic differentiations. Journal of Bacteriology 147.10631076.CrossRefGoogle ScholarPubMed
Marrie, T. J., Haldane, E. V., Noble, M. A., Faulkner, R. S., Lee, S. H. S., Gough, D.. Myers, S. & Stewart, J. (1982). Q fever in Maritime Canada. Canadian Medical Association Journal 126, 12951300.Google ScholarPubMed
Marrie, T. J., Van buren, J., Faulkner, R. S., Haldane, E. V., Williams, J. C. & Kwan, C. (1984). Seroepidemiology of Q fever in Nova Scotia and Prince Edward Island. Canadian Journal of Microbiology 30, 129134.CrossRefGoogle ScholarPubMed
Marrie, T. J., Haldane, H. V., Faulkner, R. S., Durant, H. & Kwan, C. (1985). Community-acquired pneumonia requiring hospitalization: is it different in the elderly Journal of the American Geriatric Society 33, 671681.CrossRefGoogle ScholarPubMed
Marrie, T. J., Van buren, J., Fraser, J., Haldane, E. V., Faulkner, R. S., Williams, J. C. & Kwan, C. (1985). Seroepidemiology of Q fever among domestic animals in Nova Scotia. American Journal of Public Health 75. 763766.CrossRefGoogle ScholarPubMed
Marrie, T. J. (1988). Q fever. 1979–1987 Nova Scotia. Canadian Diseases Weekly Report 14. 6970.Google Scholar
Marrie, T. J., Durant, H., Williams, J. C., Mintz, E. & Waag, D. M. (1988). Exposure to parturient cats is a risk factor for acquisition of Q fever in Maritime Canada. Journal of Infectious Diseases 158, 101108.CrossRefGoogle ScholarPubMed
Marmion, B. P. & Stoker, M. G. P. (1956). The varying epidemiology of Q fever in Great Britain. II. In two rural areas. Journal of Hygiene 54. 547561.Google Scholar
Oliphant, J. W., Gordon, D. A., Meis, A. & Parker, R. R. (1949). Q fever in laundry workers presumably transmitted from contaminated clothing. American Journal of Hygiene 49.7682.Google ScholarPubMed
Salmon, M. M., Howellis, B., Gtencross, E. J. C., Evans, A. D. & Palmer, S. R. (1982). Q fever in an urban area. Lancet 1. 10021004.CrossRefGoogle Scholar
Tigertt, W. D., Benenson, A. S. & Gochenour, W. S. (1961). Airborne Q fever. Bacteriological Reviews 25. 285293.CrossRefGoogle ScholarPubMed
Turck, W. P. G. (1981). Q fever. In Medical Microbiology and Infectious Disease (eds. Brande, A. I., Davis, C. E., Fierer, J.), pp. 932937. Philadelphia: W. B. Saunders.Google Scholar
Welsh, H. H., Lennette, E. H., Abinanti, F. R. & Winn, J. F. (1958). Air-borne transmission for Q fever: The role of parturition in the generation of infective aerosols. Annals of the New York Academy of Science 70. 528540.CrossRefGoogle ScholarPubMed