Chronic Q Fever Diagnosis—Consensus Guideline versus Expert Opinion
Linda M. Kampschreur

, 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)
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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) |
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