Document Detail


Immunoglobulin M and Immunoglobulin G Seronegative Q Fever: A Hypothesis for Veterans? Medically Unexplained Chronic Multi-symptom Illnesses.
MedLine Citation:
PMID:  22427048     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We present Q fever as a credible hypothesis for Gulf War Veterans? Illnesses (GWVIs) and as a possible etiology for prevalent symptomologies affecting currently serving servicemembers. Q fever is caused by the bacteria Coxiella burnetii, which is endemic throughout the Middle East. Q fever may manifest in many forms of widely varying and often inconstant symptoms. Due to false-negative interpretations in current and past diagnostic testing, Q fever has not received appropriate consideration as a possible causative agent for medically unexplained veterans? illnesses. Review of current literature invites us to consider that a form of Q fever involving an incomplete immune response is a potential cause of these debilitating illnesses. We hypothesize C. burnetii infection coincidental to exposures suppressing antibody-specific immune response results in infection mediated by immunoglobulin D (IgD). Literature indicates that successful treatment for this form of Q fever requires the concurrent administration of doxycycline and hydroxychloroquine.
Authors:
Michael J Chagaris; Robert C Smith; Ami L Goldstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of special operations medicine : a peer reviewed journal for SOF medical professionals     Volume:  12     ISSN:  1553-9768     ISO Abbreviation:  J Spec Oper Med     Publication Date:  2012  
Date Detail:
Created Date:  2012-03-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158402     Medline TA:  J Spec Oper Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-48     Citation Subset:  IM    
Copyright Information:
2012.
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