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Volume 26, Number 5—May 2020
Dispatch

Capybara and Brush Cutter Involvement in Q Fever Outbreak in Remote Area of Amazon Rain Forest, French Guiana, 2014

Jacques-Robert ChristenComments to Author , Sophie Edouard, Thierry Lamour, Enguerrane Martinez, Claire Rousseau, Franck de Laval, François Catzeflis, Félix Djossou, Didier Raoult, Vincent Pommier de Santi1, and Loïc Epelboin1
Author affiliations: Laveran Military Teaching Hospital, Marseille, France (J.-R. Christen); Aix-Marseille University, Institut de Recherche pour le Développement, IHU-Méditerranée Infection, Microbes, Evolution, Phylogénie et Infection, Marseille (S. Edouard, D. Raoult); French Armed Forces Medical Health Service, Cayenne, French Guiana (T. Lamour, E. Martinez); Clermont-Tonnerre Military Teaching Hospital, Brest, France (C. Rousseau); French Armed Forces Center for Epidemiology and Public Health, Marseille (F. de Laval, V. Pommier de Santi); Institute of Evolutionary Sciences, UMR 5554 CNRS, University of Montpellier, Montpellier, France (F. Catzeflis); Andrée Rosemon Hospital and Amazonian Ecosystems and Tropical Pathology, EA 3593, University of French Guiana, Cayenne (F. Djossou, L. Epelboin); Aix-Marseille University, Institut de Recherche pour le Développement, Assistance Publique-Hôpitaux de Marseille, French Military Health Service, Vecteurs-Infections TROpicales et MEditerranéennes, IHU-Méditerranée Infection, Marseille (V. Pommier de Santi)

Main Article

Table 1

Characteristics of French Navy service members who had Q fever after visit to carbet along Comté River, Amazon Rain Forest, French Guiana, 2014–2015*

Patient no. Age, y/sex Dates of stay at carbet Date of symptom onset Date of serology Phase I
 Phase II
 Clinical presentation
IgG IgM IgG IgM
1 21/M 2014 Aug 15–17 2014 Sep 2 2014 Sep 9 <50 800 50 100 Fever, pneumonia, myalgia
2014 Sep 15 <50 >6,400 100 6,400
2 40/F 2014 Aug 15–17 2014 Aug 29 2014 Sep 1 <50 <50 <50 <50 Fever, pneumonia
2014 Sep 10 <50 400 3,200 6,400
3 27/M 2014 Aug 15–17 2014 Aug 31 2014 Sep 5 <50 <50 <50 50 Fever, pneumonia, myalgia
2014 Sep 17 <50 6,400 800 >6,400
4 20/M 2014 Aug 15–17 2014 Aug 31 2014 Sep 26 100 800 200 800 Fever, myalgia
5 28/M 2014 Aug 15–17 2014 Sep 13 2014 Sep 18 <50 <50 <50 <50 Fever, pneumonia, vomiting, diarrhea, myalgia
6 29/F 2014 Dec 22 2015 Jan 14 2015 Jan 28 200 800 800 200 Fever, pneumonia
2015 Feb 24 50 1,600 800 800

*We measured antibody concentrations against both antigenic variants (phase I and phase II) of Coxiella burnetii. High levels of phase II antibodies are found in acute Q fever, whereas high levels of IgG phase I antibodies are predominant in chronic Q fever.

Main Article

1These senior authors contributed equally to this article.

Page created: April 16, 2020
Page updated: April 16, 2020
Page reviewed: April 16, 2020
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