Q Fever in Military Firefighters during Cadet Training in Brazil

Abstract. We report five cases of Q fever among cadets during a training program for Military Firefighters Academy in the state of Rio de Janeiro, Brazil. This cluster confirms the significance of Coxiella burnetii as an infectious agent in Brazil, where the occurrence of this zoonosis is poorly documented and highlights the potential risk for Q fever transmission in rural areas or farms with infected animals.

[1]  D. Raoult,et al.  From Q Fever to Coxiella burnetii Infection: a Paradigm Change , 2016, Clinical Microbiology Reviews.

[2]  A. Richards,et al.  Seroconversions for Coxiella and Rickettsial Pathogens among US Marines Deployed to Afghanistan, 2001–2010 , 2016, Emerging infectious diseases.

[3]  R. Bochner,et al.  Molecular Identification of Q Fever in Patients with a Suspected Diagnosis of Dengue in Brazil in 2013-2014. , 2016, The American journal of tropical medicine and hygiene.

[4]  S. Briolant,et al.  Q Fever in French Guiana: Tip of the Iceberg or Epidemiological Exception? , 2016, PLoS neglected tropical diseases.

[5]  W. van der Hoek,et al.  Q fever in the Netherlands - 2007-2010: what we learned from the largest outbreak ever. , 2014, Medecine et maladies infectieuses.

[6]  E. R. D. de Lemos,et al.  Coxiella burnetii, the agent of Q fever in Brazil: its hidden role in seronegative arthritis and the importance of molecular diagnosis based on the repetitive element IS1111 associated with the transposase gene. , 2012, Memorias do Instituto Oswaldo Cruz.

[7]  D. Raoult,et al.  Q Fever. , 2010, Veterinary microbiology.

[8]  C. Ockenhouse,et al.  Q Fever and the US Military , 2005, Emerging infectious diseases.

[9]  F Nistal de Paz,et al.  [Q fever]. , 1994, Medicina clinica.

[10]  Dácio de Almeida Christovão,et al.  INVESTIGAÇõES SÔBRE A FEBRE "Q" EM SÃO PAULO. I - ESTUDO SOROLÓGICO EM OPERÁRIOS DE UM FRIGORÍFICO , 1953 .

[11]  E. H. Derrick,et al.  “Q” FEVER, A NEW FEVER ENTITY: CLINICAL FEATURES, DIAGNOSIS AND LABORATORY INVESTIGATION , 1937 .