Cléa Melenotte, Camélia Protopopescu, Matthieu Million, Sophie Edouard, M Patrizia Carrieri, Carole Eldin, Emmanouil Angelakis, Félix Djossou, Nathalie Bardin, Pierre-Edouard Fournier, Jean-Louis Mège, Didier Raoult
Importance: Q fever remains widespread throughout the world; the disease is serious and causes outbreaks and deaths when complications are not detected. The diagnosis of Q fever requires the demonstration of the presence of Coxiella burnetii and the identification of an organic lesion. Objective: To describe the hitherto neglected clinical characteristics of Q fever and identifying risk factors for complications and death. Design, Setting, and Participants: This prospective cohort study conducted from January 1, 1991, through December 31, 2016, included patients treated at the French National Reference Center for Q fever with serologic findings positive for C burnetii and clinical data consistent with C burnetii infection...
August 3, 2018: JAMA Network Open