Identification of risk factors for chronic Q fever, the Netherlands.

Autor: Kampschreur LM; University Medical Centre Utrecht, Utrecht, the Netherlands. l.m.kampschreur@umcutrecht.nl, Dekker S, Hagenaars JC, Lestrade PJ, Renders NH, de Jager-Leclercq MG, Hermans MH, Groot CA, Groenwold RH, Hoepelman AI, Wever PC, Oosterheert JJ
Jazyk: angličtina
Zdroj: Emerging infectious diseases [Emerg Infect Dis] 2012 Apr; Vol. 18 (4), pp. 563-70.
DOI: 10.3201/eid1804.111478
Abstrakt: Since 2007, the Netherlands has experienced a large Q fever outbreak. To identify and quantify risk factors for development of chronic Q fever after Coxiella burnetii infection, we performed a case-control study. Comorbidity, cardiovascular risk factors, medications, and demographic characteristics from 105 patients with proven (n = 44), probable (n = 28), or possible (n = 33) chronic Q fever were compared with 201 patients who had acute Q fever in 2009 but in whom chronic Q fever did not develop (controls). Independent risk factors for development of proven chronic Q fever were valvular surgery, vascular prosthesis, aneurysm, renal insufficiency, and older age.
Databáze: MEDLINE
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