AI Article Synopsis
- A surgical nurse was exposed to Coxiella burnetii after a finger injury during a surgery on a patient with endocarditis caused by this bacterium, and she was prescribed doxycycline for prophylaxis.
- Q fever is primarily contracted through exposure to infected animals or contaminated products, with rare instances of human-to-human transmission reported, including in healthcare settings.
- Given its high infectiousness and potential risks to healthcare workers, C. burnetii should be considered a significant concern following blood exposure.
Article Abstract
We report a case of exposure to Coxiella burnetii in a surgical nurse who underwent an injury of her finger with a scalpel blade during a native aortic valve replacement with a bio-prosthetic cardiac valve conducted on a patient suffering from C. burnetii aortic endocarditis. Given the positivity of C. burnetii culture and PCR from the patient's aortic valve, she was prescribed prophylactic doxycycline 100 mg twice a day for 10 days. Q fever is an occupational zoonosis resulting usually of exposure to infected animals by inhalation of infected aerosols or consumption of contaminated raw milk. Apart from materno-foetal transmission, about 180 cases of human-to-human C. burnetii transmission have been published from 1949 to today, including transmission by blood transfusion, sexual relations, transmission in the healthcare setting to staff, patient attendants and other patients that were likely infected from inhalation of aerosol from respiratory or placental products, transmission to staff during autopsies of patients with Q fever and transmission in familial settings. As C. burnetii is a highly infectious bacterium, that may cause infection with a low inoculum, it should be added to the list of organisms which may be of concern following blood exposure among healthcare professionals.
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| http://dx.doi.org/10.1556/030.2024.02240 | DOI Listing |
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