{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:02:21Z","timestamp":1791918141233,"version":"4.3.4"},"reference-count":135,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T00:00:00Z","timestamp":1642204800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T00:00:00Z","timestamp":1642204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000774","name":"Defense Threat Reduction Agency","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000774","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Zoonotic diseases, such as brucellosis, Q fever and Rift Valley fever (RVF) caused by\n                    <jats:italic>Brucella<\/jats:italic>\n                    spp.,\n                    <jats:italic>Coxiella burnetii<\/jats:italic>\n                    and RVF virus, respectively, can have devastating effects on human, livestock, and wildlife health and cause economic hardship due to morbidity and mortality in livestock. Coinfection with multiple pathogens can lead to more severe disease outcomes and altered transmission dynamics. These three pathogens can alter host immune responses likely leading to increased morbidity, mortality and pathogen transmission during coinfection. Developing countries, such as those commonly afflicted by outbreaks of brucellosis, Q fever and RVF, have high disease burden and thus common coinfections. A literature survey provided information on case reports and studies investigating coinfections involving the three focal diseases. Fifty five studies were collected demonstrating coinfections of\n                    <jats:italic>Brucella<\/jats:italic>\n                    spp.,\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    or RVFV with 50 different pathogens, of which 64% were zoonotic. While the literature search criteria involved \u2018coinfection\u2019, only 24\/55 studies showed coinfections with direct pathogen detection methods (microbiology, PCR and antigen test), while the rest only reported detection of antibodies against multiple pathogens, which only indicate a history of co\u2010exposure, not concurrent infection. These studies lack the ability to test whether coinfection leads to changes in morbidity, mortality or transmission dynamics. We describe considerations and methods for identifying ongoing coinfections to address this critical blind spot in disease risk management.\n                  <\/jats:p>","DOI":"10.1111\/zph.12905","type":"journal-article","created":{"date-parts":[[2022,1,16]],"date-time":"2022-01-16T00:03:50Z","timestamp":1642291430000},"page":"175-194","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Identification and distribution of pathogens coinfecting with\n                    <i>Brucella<\/i>\n                    spp.,\n                    <i>Coxiella burnetii<\/i>\n                    and Rift Valley fever virus in humans, livestock and wildlife"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0508-455X","authenticated-orcid":false,"given":"Earl A.","family":"Middlebrook","sequence":"first","affiliation":[{"name":"Biosecurity and Public Health Los Alamos National Laboratory  Los Alamos NM USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia T.","family":"Romero","sequence":"additional","affiliation":[{"name":"Biosecurity and Public Health Los Alamos National Laboratory  Los Alamos NM USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Bett","sequence":"additional","affiliation":[{"name":"International Livestock Research Institute  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Nthiwa","sequence":"additional","affiliation":[{"name":"International Livestock Research Institute  Nairobi Kenya"},{"name":"Department of Biological Sciences University of Embu  Embu Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel O.","family":"Oyola","sequence":"additional","affiliation":[{"name":"International Livestock Research Institute  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne 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