Chronic Q fever: Expert opinion versus literature analysis and consensus

被引:118
作者
Raoult, Didier [1 ]
机构
[1] Aix Marseille Univ, Unite Rech Malad Infect & Trop Emergentes, Fac Med, CNRS UMR 7278,IRD 198, F-13385 Marseille 05, France
关键词
Q fever; COXIELLA-BURNETII INFECTION; DIAGNOSTIC-CRITERIA; ENDOCARDITIS; NETHERLANDS; OUTBREAK; SEROLOGY; FRANCE;
D O I
10.1016/j.jinf.2012.04.006
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Q fever has long been considered a rare disease. The extensive outbreak in the Netherlands generated a body of literature based solely on the consensus in the Netherlands. As a long-standing expert on Q fever, I offer my experience and recommendations to the E-CDC and the Dutch Q fever Consensus Group. My (biased) opinion is that experts deeply involved in the field continue to be useful in the management of outbreaks and can avoid decisions that produce an unfavorable progression in patients. Here, I propose that the definition of "chronic Q fever" be avoided and suggest a new score-based diagnosis for Q fever endocarditis and vascular infection. (C) 2012 The British Infection Association. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:102 / 108
页数:7
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