Abstract
Q fever is a worldwide zoonosis caused by Coxiella burnetii and presents as both acute or chronic cases. The disease can be transmitted from animal reservoirs to humans by inhalation of infected aerosols. A previous study had revealed a hyperendemic focus in South France. A case-control study was carried-out in this area from 1996 to 1999. Besides the role of wind, this study stressed out the exposure to a pedagogical farm as an independent risk factor (4.7% of cases – 0 controls): Exposure to sheep and new-born animals (OR: 3.07 and 4.01 respectively) were not significant after omission of people exposed to the pedagogical farm. Such farms are visited by people who would not have any other contact with farm animals. These farms require a drastic hygiene and control. Q fever, as a public health problem, still requires further studies to identify and confirm individual behavioral risk factors.
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H Tissot-Dupont D Raoult P Brouqui et al. (1992) ArticleTitleEpidemiologic features and clinical presentation of acute Q fever in hospitalized patients: 323 French cases Am J Med 93 IssueID4 427–434 Occurrence Handle1415306 Occurrence Handle1:STN:280:DyaK3s%2FjsFCgug%3D%3D
D Raoult H Tissot-Dupont C Foucault et al. (2000) ArticleTitleQ fever 1985–1998. Clinical and epidemiologic features of 1,383 infections Medicine (Baltimore) 79 IssueID2 109–123 Occurrence Handle10.1097/00005792-200003000-00005 Occurrence Handle1:STN:280:DC%2BD3c3jsVajtg%3D%3D
P Brouqui H Tissot-Dupont M Drancourt et al. (1993) ArticleTitleChronic Q fever. Ninety-two cases from France, including 27 cases without endocarditis Arch Intern Med 153 IssueID5 642–648 Occurrence Handle10.1001/archinte.153.5.642 Occurrence Handle8439227 Occurrence Handle1:STN:280:DyaK3s7nsF2lsA%3D%3D
PE Fournier JP Casalta P Piquet P Tournigand A Branchereau D Raoult (1998) ArticleTitleCoxiella burnetii infection of aneurysms or vascular grafts: Report of seven cases and review Clin Infect Dis 26 IssueID1 116–121 Occurrence Handle9455519 Occurrence Handle1:STN:280:DyaK1c7hs1KqtQ%3D%3D
D Raoult A Stein (1994) ArticleTitleQ fever during pregnancy – a risk for women, fetuses, and obstetricians N Engl J Med 330 IssueID5 371 Occurrence Handle10.1056/NEJM199402033300518
TJ Marrie D Raoult (1997) ArticleTitleQ fever – a review and issues for the next century Int J Antimicrob Agents 8 145–161 Occurrence Handle1:CAS:528:DyaK2sXjs1eltrw%3D Occurrence Handle18611796
TJ. Marrie (1990) Epidemiology of Q fever TJ Marrie (Eds) Q fever, vol. 1. The Disease CRC Press Boca Raton, Fla 49–70
JM Langley TJ Marrie A Covert DM Waag JC Williams (1988) ArticleTitlePoker players’ pneumonia. An urban outbreak of Q fever following exposure to a parturient cat N Engl J Med 319 IssueID6 354–356 Occurrence Handle3393197 Occurrence Handle1:STN:280:DyaL1c3ns1Srtg%3D%3D Occurrence Handle10.1056/NEJM198808113190607
TJ Marrie WF Schlech SuffixIII JC Williams L Yates (1986) ArticleTitleQ fever pneumonia associated with exposure to wild rabbits Lancet 1 IssueID8478 427–429 Occurrence Handle2868348 Occurrence Handle1:STN:280:DyaL287hsleksA%3D%3D
F Buhariwalla B Cann TJ Marrie (1996) ArticleTitleA dog-related outbreak of Q fever Clin Infect Dis 23 IssueID4 753–755 Occurrence Handle8909839 Occurrence Handle1:STN:280:DyaK2s%2Fms1emug%3D%3D
H Tissot-Dupont S Torres M Nezri D Raoult (1999) ArticleTitleHyperendemic focus of Q fever related to sheep and wind Am J Epidemiol 150 IssueID1 67–74 Occurrence Handle10400556 Occurrence Handle1:STN:280:DyaK1MzhsV2gsQ%3D%3D
H Tissot-Dupont MA Amadei M Nezri D Raoult (2004) ArticleTitleWind in November – Q fever in December Emerg Infect Dis 10 1264–1269 Occurrence Handle15324547
H Tissot-Dupont X Thirion D Raoult (1994) ArticleTitleQ fever serology: Cutoff determination for microimmunofluorescence Clin Diagn Lab Immunol 1 IssueID2 189–196
G Dupuis J Petite O Peter M Vouilloz (1987) ArticleTitleAn important outbreak of human Q fever in a Swiss Alpine valley Int J Epidemiol 16 IssueID2 282–287 Occurrence Handle3301708 Occurrence Handle1:STN:280:DyaL2s3nvVyjsQ%3D%3D
JI Hawker JG Ayres I Blair et al. (1998) ArticleTitleA large outbreak of Q fever in the West Midlands: windborne spread into a metropolitan area? Commun Dis Public Health 1 IssueID3 180–187 Occurrence Handle9782633 Occurrence Handle1:STN:280:DyaK1cvlsF2msQ%3D%3D
MM Salmon B Howells EJ Glencross AD Evans SR Palmer (1982) ArticleTitleQ fever in an urban area Lancet 1 IssueID8279 1002–1004 Occurrence Handle6122818 Occurrence Handle1:STN:280:DyaL387psVaiuw%3D%3D
JA Comer CD Paddock JE Childs (2001) ArticleTitleUrban zoonoses caused by Bartonella, Coxiella, Ehrlichia, and Rickettsia species Vector Borne Zoonotic Dis 1 IssueID2 91–118 Occurrence Handle10.1089/153036601316977714 Occurrence Handle12653141 Occurrence Handle1:STN:280:DC%2BD3s7jvVSntA%3D%3D
T Kosatsky (1984) ArticleTitleHousehold outbreak of Q-fever pneumonia related to a parturient cat Lancet 2 IssueID8417–8418 1447–1449 Occurrence Handle6151054 Occurrence Handle1:STN:280:DyaL2M%2FosFWrtg%3D%3D
TJ Marrie H Durant JC Williams E Mintz DM Waag (1988) ArticleTitleExposure to parturient cats: A risk factor for acquisition of Q fever in Maritime Canada J Infect Dis 158 IssueID1 101–108 Occurrence Handle3392409 Occurrence Handle1:STN:280:DyaL1c3nsVSktg%3D%3D
D Higgins TJ Marrie (1990) ArticleTitleSeroepidemiology of Q fever among cats in New Brunswick and Prince Edward Island Ann NY Acad Sci 590 271–274 Occurrence Handle2378456 Occurrence Handle1:STN:280:DyaK3czjsVegsw%3D%3D
TJ Marrie J Buren ParticleVan J Fraser et al. (1985) ArticleTitleSeroepidemiology of Q fever among domestic animals in Nova Scotia Am J Public Health 75 IssueID7 763–766 Occurrence Handle3890569 Occurrence Handle1:STN:280:DyaL2M3it1ygsg%3D%3D Occurrence Handle10.2105/AJPH.75.7.763
A Mantovani P Benazzi (1953) ArticleTitleThe isolation of Coxiella burnetii from Rhipicephalus sanguineus on naturally infected dogs J Am Vet Med Assoc 122 117–120 Occurrence Handle13022569 Occurrence Handle1:STN:280:DyaG3s%2FkslahtQ%3D%3D
T Laughlin D Waag J Williams T Marrie (1991) ArticleTitleQ fever: From deer to dog to man Lancet 337 IssueID8742 676–677 Occurrence Handle10.1016/0140-6736(91)92494-M Occurrence Handle1672016 Occurrence Handle1:STN:280:DyaK3M7lsFKnug%3D%3D
M Maurin D Raoult (1999) ArticleTitleQ fever Clin Microbiol Rev 12 IssueID4 518–553 Occurrence Handle10515901 Occurrence Handle1:STN:280:DyaK1MvksFCnsw%3D%3D
JP Webster G Lloyd DW Macdonald (1995) ArticleTitleQ fever (Coxiella burnetii) reservoir in wild brown rat (Rattus norvegicus) populations in the UK Parasitology 110 IssueIDPt 1 31–35 Occurrence Handle7845709
TJ Marrie J Embil L Yates (1993) ArticleTitleSeroepidemiology of Coxiella burnetii among wildlife in Nova Scotia Am J Trop Med Hyg 49 IssueID5 613–615 Occurrence Handle8250101 Occurrence Handle1:STN:280:DyaK2c%2FntV2gsQ%3D%3D
B Babudieri (1959) ArticleTitleQ fever: A zoonosis Adv Vet Sci 5 82–182
Lang GH. Coxiellosis (Q fever) in animals. In: Marrie TJ (ed), Q fever, vol. 1. The Disease. Boca Raton, Fla: CRC Press, 1990
CM Eklund RR Parker DB Lackman (1947) ArticleTitleA case of Q fever probably contracted by exposure to ticks in nature Public Health Rep 62 1413–1416 Occurrence Handle1:STN:280:DyaH2s%2FmtlOqsg%3D%3D Occurrence Handle20344767
F Janbon D Raoult J Reynes A Bertrand (1989) ArticleTitleConcomitant human infection due to Rickettsia conorii and Coxiella burnetii J Infect Dis 160 IssueID2 354–355 Occurrence Handle2760493 Occurrence Handle1:STN:280:DyaL1MzktFCrtw%3D%3D
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Tissot-Dupont, H., Amadei, MA., Nezri, M. et al. A Pedagogical Farm as a Source of Q Fever in a French City. Eur J Epidemiol 20, 957–961 (2005). https://doi.org/10.1007/s10654-005-2336-5
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DOI: https://doi.org/10.1007/s10654-005-2336-5