{"title":"Expanding the diagnostic scope of paleopathology: Identification of Q fever (Coxiella burnetii) using a One Paleopathology approach","authors":"Christine Alvarez Jones","doi":"10.1016/j.ijpp.2024.10.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This project is an application of the One Paleopathology approach to the study of Q fever (<em>C. burnetii</em> infection), a disease which is underdiagnosed and largely unknown in paleopathology.</div></div><div><h3>Materials</h3><div>Clinical and veterinary pathological case reports and reviews, bioarcheological and zooarchaeological data, veterinary and environmental studies of wild and domestic animal pathology, clinical molecular pathogen data</div></div><div><h3>Methods</h3><div>One Paleopathology approach which combines data from people, animals, and their environment to understand disease in the past.</div></div><div><h3>Results</h3><div>Q fever in animals presents as reproductive failure, with no typical skeletal manifestations seen in animals. Persistent Q fever (<em>C. burnetii</em>) focalized infection affects the human skeleton in predictable ways, including spondylodiscitis and extravertebral osteomyelitis or osteitis which can occur more commonly in children. Evidence of skeletal involvement suggests <em>C. burnetii</em> infection in the past is underestimated and underdiagnosed in humans.</div></div><div><h3>Conclusion</h3><div>Using the One Paleopathology approach can improve the study of <em>C. burnetii</em> infection in the past, where both animal and human paleopathology and environmental factors are assessed in developing potential diagnoses.</div></div><div><h3>Significance</h3><div>This project is the first paleopathological study to specifically focus awareness on identification of <em>C. burnetii</em> in past skeletal samples, both animal and human.</div></div><div><h3>Limitations</h3><div>Lack of paleopathological studies and existing reference literature identifying skeletal involvement associated with <em>C. burnetii</em> infection.</div></div><div><h3>Suggestions for future research</h3><div>Future paleopathological genomic studies should focus on identification of <em>C. burnetii</em> genotypes.</div></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"47 ","pages":"Pages 43-53"},"PeriodicalIF":1.3000,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Paleopathology","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1879981724003139","RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PALEONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
This project is an application of the One Paleopathology approach to the study of Q fever (C. burnetii infection), a disease which is underdiagnosed and largely unknown in paleopathology.
Materials
Clinical and veterinary pathological case reports and reviews, bioarcheological and zooarchaeological data, veterinary and environmental studies of wild and domestic animal pathology, clinical molecular pathogen data
Methods
One Paleopathology approach which combines data from people, animals, and their environment to understand disease in the past.
Results
Q fever in animals presents as reproductive failure, with no typical skeletal manifestations seen in animals. Persistent Q fever (C. burnetii) focalized infection affects the human skeleton in predictable ways, including spondylodiscitis and extravertebral osteomyelitis or osteitis which can occur more commonly in children. Evidence of skeletal involvement suggests C. burnetii infection in the past is underestimated and underdiagnosed in humans.
Conclusion
Using the One Paleopathology approach can improve the study of C. burnetii infection in the past, where both animal and human paleopathology and environmental factors are assessed in developing potential diagnoses.
Significance
This project is the first paleopathological study to specifically focus awareness on identification of C. burnetii in past skeletal samples, both animal and human.
Limitations
Lack of paleopathological studies and existing reference literature identifying skeletal involvement associated with C. burnetii infection.
Suggestions for future research
Future paleopathological genomic studies should focus on identification of C. burnetii genotypes.
期刊介绍:
Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.