1992
DOI: 10.1016/0002-9343(92)90173-9
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Epidemiologic features and clinical presentation of acute Q fever in hospitalized patients: 323 French cases

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Cited by 301 publications
(153 citation statements)
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“…The main significant differences between these two groups are age and sex, with symptomatic patients being significantly older and more often men than asymptomatic or poorly symptomatic patients. This result confirms what has already been described in previous studies: age and sex are the two major determinants of clinical manifestations of C. burnetii primary infection, with older men being more frequently symptomatic than young women, pregnant women and children [2][3][4]. Moreover, the results of Van Loenhout et al confirm that there is no correlation between clinical manifestations of C. burnetii primary infection and the long-term consequences of the infection, with no significant difference in longterm health status between notified and non-notified patients [5].…”
Section: Moving From Q Fever To C Burnetii Infectionsupporting
confidence: 92%
“…The main significant differences between these two groups are age and sex, with symptomatic patients being significantly older and more often men than asymptomatic or poorly symptomatic patients. This result confirms what has already been described in previous studies: age and sex are the two major determinants of clinical manifestations of C. burnetii primary infection, with older men being more frequently symptomatic than young women, pregnant women and children [2][3][4]. Moreover, the results of Van Loenhout et al confirm that there is no correlation between clinical manifestations of C. burnetii primary infection and the long-term consequences of the infection, with no significant difference in longterm health status between notified and non-notified patients [5].…”
Section: Moving From Q Fever To C Burnetii Infectionsupporting
confidence: 92%
“…Differences in mode of transmission or variations in geographic strain virulence may be responsible for the higher rate of hepatitis observed among military service members. 22,45,46 A higher proportion of reported cases were hospitalized among Hispanics than non-Hispanics. Furthermore, cases among blacks, Asians, and American Indians together were more likely to be hospitalized versus whites alone.…”
Section: Discussionmentioning
confidence: 99%
“…La Scola et al and Marrie et al demonstrated that the route of infection and the size of the inoculum affected clinical illness and pathology associated with infection in mouse and guinea pig models (26,33). Differences in the geographic distributions of the diseases have also been noted (32); in Nova Scotia, for example, the primary manifestation of acute Q fever is pneumonia (34), but in France it is hepatitis, possibly due to ingestion of raw milk and unpasteurized cheeses (51).…”
mentioning
confidence: 99%