Screening for Q Fever in Patients Undergoing Transcatheter Aortic Valve Implantation, Israel, June 2018–May 2020

Ghanem-Zoubi, Nesrin; Paul, M H; Szwarcwort, Moran; Agmon, Yoram; Kerner, Arthur

doi:10.3201/eid2708.204963

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Increasing age and male sex as risk factors for Q fever have been reported in various countries in both clinical and epidemiological studies (8,11,21,22); possible explanations have been related to increased exposure from living in endemic places and certain occupational exposures. We did not have occupational data for participants in this study, but previous local reports have frequently mentioned that animal exposure does not seem to be a risk factor (23)(24)(25). Similarly, residence in a rural area was not associated with Q fever seroprevalence in our study, contrary to previous reports (11,15,17,26).…”

Section: Discussioncontrasting

confidence: 92%

Cross-Sectional Study of Q Fever Seroprevalence among Blood Donors, Israel, 2021

Ghanem-Zoubi,

Atiya-Nasagi,

Stoyanov

et al. 2024

Emerg. Infect. Dis.

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We evaluated Q fever prevalence in blood donors and assessed the epidemiologic features of the disease in Israel in 2021. We tested serum samples for Coxeilla burnetii phase I and II IgG using immunofluorescent assay, defining a result of > 200 as seropositive. We compared geographic and demographic data. We included 1,473 participants; 188 (12.7%) were seropositive. The calculated sex- and age-adjusted national seroprevalence was 13.9% (95% CI 12.2%–15.7%). Male sex and age were independently associated with seropositivity (odds ratio [OR] 1.6, 95% CI 1.1–2.2; p = 0.005 for male sex; OR 1.2, 95% CI 1.01–1.03; p<0.001 for age). Residence in the coastal plain was independently associated with seropositivity for Q fever (OR 1.6, 95% CI 1.2–2.3; p<0.001); residence in rural and farming regions was not. Q fever is highly prevalent in Israel. The unexpected spatial distribution in the nonrural coastal plain suggests an unrecognized mode of transmission.

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Section: Discussioncontrasting

confidence: 92%

Cross-Sectional Study of Q Fever Seroprevalence among Blood Donors, Israel, 2021

Ghanem-Zoubi,

Atiya-Nasagi,

Stoyanov

et al. 2024

Emerg. Infect. Dis.

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Coxiella and Q fever

Sahu,

Yadav,

Vergis

et al. 2024

Molecular Medical Microbiology

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Bivalvular Endocarditis Due to Polymicrobial Coinfection with Enterococcus faecalis and Coxiella burnetii: A Case Report and Review of the Literature

Abu-Ahmad,

Bahouth,

Hershman-Sarafov

et al. 2024

Medicina

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Polymicrobial endocarditis is uncommon, and polymicrobial endocarditis in combination with Coxiella burnetii is very rare. We herein describe an extremely rare case of polymicrobial bivalvular endocarditis due to coinfection with Enterococcus faecalis and Coxiella burnetii in a 62-year-old male patient, and extensively review the relevant medical literature. To the best of our knowledge, only three similar cases have been previously reported. Q fever is a worldwide endemic bacterial zoonosis, but it and its most common chronic complication, endocarditis, are still underestimated and underdiagnosed worldwide. This situation reflects the paucity of reported cases of polymicrobial endocarditis in combination with Coxiella burnetii. Clinical presentation of Q fever endocarditis is highly nonspecific, and diagnosis may be delayed or missed, leading to severe and potentially fatal disease. Our case and the previously reported similar cases emphasize the need for further evaluation of infective endocarditis due to Coxiella burnetii, in all cases of culture-negative endocarditis, and in prolonged oligo-symptomatic inflammatory syndrome, particularly in the presence of valvular heart disease. This approach should be applied even when typical pathogens are isolated, especially in endemic areas of Q fever, and with atypical presentation.

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Screening for Q Fever in Patients Undergoing Transcatheter Aortic Valve Implantation, Israel, June 2018–May 2020

Cited by 3 publications

References 14 publications

Cross-Sectional Study of Q Fever Seroprevalence among Blood Donors, Israel, 2021

Cross-Sectional Study of Q Fever Seroprevalence among Blood Donors, Israel, 2021

Coxiella and Q fever

Bivalvular Endocarditis Due to Polymicrobial Coinfection with Enterococcus faecalis and Coxiella burnetii: A Case Report and Review of the Literature

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