2012
DOI: 10.1093/cid/cis690
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Q Fever Cluster Among Raw Milk Drinkers in Michigan, 2011

Abstract: Q fever is a zoonosis caused by Coxiella burnetii, a unique bacterium that is widespread but infrequently associated with human illness or outbreaks. We report on evidence of infection with C. burnetii in a small group of regular consumers of raw (unpasteurized) milk from the same dairy in Michigan.

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Cited by 65 publications
(56 citation statements)
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“…[2][3][4][5][6][7][8][9] Inhalation of infectious organisms is widely recognized as the most prevalent route of exposure; transmission by ingestion of unpasteurized milk, tick bite, sexual contact, and transfusion of infected blood products have rarely been implicated in rare human infections. [10][11][12][13][14] Large outbreaks associated with inhalational exposure have occurred in slaughterhouses, auction yards, dairies, military units, laboratories, and households. [15][16][17][18][19][20][21] In humans in the United States, acute Q fever most commonly presents as a flu-like illness, more rarely as hepatitis or pneumonia; asymptomatic infections have also been documented.…”
Section: Introductionmentioning
confidence: 99%
“…[2][3][4][5][6][7][8][9] Inhalation of infectious organisms is widely recognized as the most prevalent route of exposure; transmission by ingestion of unpasteurized milk, tick bite, sexual contact, and transfusion of infected blood products have rarely been implicated in rare human infections. [10][11][12][13][14] Large outbreaks associated with inhalational exposure have occurred in slaughterhouses, auction yards, dairies, military units, laboratories, and households. [15][16][17][18][19][20][21] In humans in the United States, acute Q fever most commonly presents as a flu-like illness, more rarely as hepatitis or pneumonia; asymptomatic infections have also been documented.…”
Section: Introductionmentioning
confidence: 99%
“…Zoonotic Q fever in humans has generally been linked with transitory outbreaks of the disease in animals [2,3]. Humans are primarily infected through inhalation of C. burnetii in aerosols, resulting from occupational exposures, although transmissions through oral ingestion of contaminated food are documented [4,5]. While infected ruminants remain largely asymptomatic, the primary signs of C. burnetii include spontaneous, late-term abortions in pregnant animals.…”
Section: Resultsmentioning
confidence: 99%
“…La consommation de lait cru infecté par C. burnetii, bien qu'elle provoque des séroconversions, n'a jamais été clairement associée à une maladie clinique chez l'humain (Benson et al 1963;Krumbiegel et Wisniewski 1970;Angelakis et Raoult 2010). Une publication récente suggère une transmission par les produits laitiers, mais l'investigation décrite ne permet pas d'exclure avec certitude une transmission aérienne (Signs et al 2012). L'analyse de produits laitiers en France a démontré la présence de l'ADN de C. burnetii mais pas de bactéries viables (Eldin et al 2013).…”
Section: Mode De Contaminationunclassified