{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:59:29Z","timestamp":1791561569632,"version":"4.3.4"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,9,14]],"date-time":"2019-09-14T00:00:00Z","timestamp":1568419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,9,14]],"date-time":"2019-09-14T00:00:00Z","timestamp":1568419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005297","name":"Uniwersytet Medyczny w Bialymstoku","doi-asserted-by":"publisher","award":["N\/ST\/ZB\/18\/002\/1145"],"award-info":[{"award-number":["N\/ST\/ZB\/18\/002\/1145"]}],"id":[{"id":"10.13039\/501100005297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Infection"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n              <jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The aim of the study is to assess anti-<jats:italic>Coxiella burnetii<\/jats:italic> antibodies presence in inhabitants of north-eastern Poland, to assess the risk of Q fever after tick bite and to assess the percentage of co-infection with other pathogens.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The serological study included 164 foresters and farmers with a history of tick bite. The molecular study included 540 patients, hospitalized because of various symptoms after tick bite. The control group consisted of 20 honorary blood donors. Anti-<jats:italic>Coxiella burnetii<\/jats:italic> antibodies titers were determined by <jats:italic>Coxiella burnetii<\/jats:italic> (Q fever) Phase 1 IgG ELISA (DRG International Inc. USA). PCR was performed to detect DNA of <jats:italic>C. burnetii<\/jats:italic>, <jats:italic>Borrelia<\/jats:italic>\u00a0<jats:italic>burgdorferi<\/jats:italic> and <jats:italic>Anaplasma phagocytophilum.<\/jats:italic><\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Anti-<jats:italic>C. burnetii<\/jats:italic> IgG was detected in six foresters (7.3%). All foresters with the anti-<jats:italic>C. burnetii<\/jats:italic> IgG presence were positive toward anti-<jats:italic>B. burgdorferi<\/jats:italic> IgG and anti-TBE (tick-borne encephalitis). Anti-<jats:italic>C. burnetii<\/jats:italic> IgG was detected in five farmers (6%). Four farmers with anti-<jats:italic>C. burnetii<\/jats:italic> IgG presence were positive toward anti-<jats:italic>B. burgdorferi<\/jats:italic> IgG and two with anti-TBE. Among them one was co-infected with <jats:italic>B. burgdorferi<\/jats:italic> and TBEV. Correlations between anti-<jats:italic>C. burnetii<\/jats:italic> IgG and anti-<jats:italic>B. burgdorferi<\/jats:italic> IgG presence and between anti-<jats:italic>C. burnetii<\/jats:italic> IgG presence and symptoms of Lyme disease were observed. <jats:italic>C. burnetii<\/jats:italic> DNA was not detected in any of the 540 (0%) patients.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p><jats:italic>C. burnetii<\/jats:italic> is rarely transmitted by ticks, but we proved that it is present in the environment, so it may be a danger to humans. The most common co-occurrence after tick bite concerns <jats:italic>C. burnetii<\/jats:italic> and <jats:italic>B. burgdorferi.<\/jats:italic><\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s15010-019-01355-w","type":"journal-article","created":{"date-parts":[[2019,9,14]],"date-time":"2019-09-14T12:02:31Z","timestamp":1568462551000},"page":"85-90","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Assessment of Coxiella burnetii presence after tick bite in north-eastern Poland"],"prefix":"10.1007","volume":"48","author":[{"given":"Karol","family":"Borawski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justyna","family":"Dunaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Czupryna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u0142awomir","family":"Pancewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata","family":"\u015awierzbi\u0144ska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"\u017bebrowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3994-8785","authenticated-orcid":false,"given":"Anna","family":"Moniuszko-Malinowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,9,14]]},"reference":[{"key":"1355_CR1","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1645\/0022-3395(2003)089[0194:MEOCOB]2.0.CO;2","volume":"89","author":"B Skotarczak","year":"2003","unstructured":"Skotarczak B, Rymaszewska A, Wodecka B, Sawczuk M. Molecular evidence of coinfection of Borrelia burgdorferi sensu lato, human granulocytic ehrlichiosis agent, and Babesia microti in ticks from northwestern Poland. J Parasitol. 2003;89:194\u20136.","journal-title":"J Parasitol"},{"key":"1355_CR2","unstructured":"Rehacek J, Tarasevich (1988) IV Q fever. In: Acari-borne rickettsiae & rickettsioses in Eurasia. Veda Publishing House of the Slovak Academy of Sciences, Bratislava."},{"key":"1355_CR3","doi-asserted-by":"publisher","first-page":"81","DOI":"10.33073\/pjm-2012-011","volume":"61","author":"T Chmielewski","year":"2012","unstructured":"Chmielewski T, Tylewska-Wierzbanowska S. Q fever at the turn of the century. Pol J Microbiol. 2012;61:81\u201393.","journal-title":"Pol J Microbiol"},{"key":"1355_CR4","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1093\/clinids\/20.3.489","volume":"20","author":"D Raoult","year":"1995","unstructured":"Raoult D, Marrie T. Q fever. 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