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Volume 21, Number 7—July 2015

Policy Review

Chronic Q Fever Diagnosis—Consensus Guideline versus Expert Opinion

Linda M. KampschreurComments to Author , Marjolijn C.A. Wegdam-Blans, Peter C. Wever, Nicole H.M. Renders, Corine E. Delsing, Tom Sprong, Marjo E.E. van Kasteren, Henk Bijlmer, Daan Notermans, Jan Jelrik Oosterheert, Frans S. Stals, Marrigje H. Nabuurs-Franssen, Chantal P. Bleeker-Rovers, on behalf of the Dutch Q Fever Consensus Group
Author affiliations: Jeroen Bosch Hospital, ’s-Hertogenbosch, the Netherlands (L.M. Kampschreur, P.C. Wever, N.H.M. Renders); University Medical Center Utrecht, Utrecht, the Netherlands (L.M. Kampschreur, J.J. Oosterheert); Laboratory for Pathology and Medical Microbiology, Veldhoven, the Netherlands (M.C.A. Wegdam-Blans); Radboud University Medical Center, Nijmegen, the Netherlands (C.E. Delsing, C.P. Bleeker-Rovers); Canisius-Wilhelmina Ziekenhuis, Nijmegen (T. Sprong); Canisius-Wilhelmina Ziekenhuis, Nijmegen (T. Sprong, M.H. Nabuurs-Franssen); St. Elisabeth Hospital, Tilburg, the Netherlands (M.E.E. van Kasteren); National Institute for Public Health and the Environment, Bilthoven, the Netherlands (H. Bijlmer, D. Notermans); Atrium Medical Centre, Heerlen, the Netherlands (F.S. Stals)

Main Article

Table 3

Comparison of chronic Q fever diagnosis according to the Dutch consensus guideline* and the alternative criteria†

Alternative criteria Dutch consensus chronic Q fever guideline
Proven, no. (%), n =151 Probable, no. (%), n = 64 Possible, no (%), n = 69
Definite Q fever endocarditis 21 (13.9) 0 0
Possible Q fever endocarditis 8 (5.3) 4 (6.3) 0
Definite Q fever vascular infection 76 (50.3) 0 0
Possible Q fever vascular infection 0 2 (3.1) 0
No diagnosis of chronic Q fever 46 (30.5) 58 (90.6) 69 (100.0)

*Source (14).
†Source (16).

Main Article

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Main Article

1A complete list of the group members is provided at the end of this article.

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