{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:44:35Z","timestamp":1747190675327,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Rheumatology"],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"<jats:p>Q fever is a rare zoonotic infection caused by Coxiella burnetii. Tumor necrosis factor-alpha (TNF-\u03b1) has an important role in the early control of this infection. However, TNF-\u03b1 blockers increase the risk of infectious diseases. We present herein a patient who developed acute Q fever under anti-TNF-\u03b1 who had a good evolution after anti-TNF stoppage and treatment with doxycycline.<\/jats:p>","DOI":"10.1155\/2021\/9944387","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T20:52:05Z","timestamp":1622580725000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Acute Q Fever in an Ankylosing Spondyloarthritis Patient Treated with Etanercept"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6216-8429","authenticated-orcid":true,"given":"A.","family":"Guiga","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Khalifa","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Ben Yahia","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"El Amri","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Atig","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Ghannouchi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Farhat Hached Hospital, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","article-title":"Diagnosis and management of Q fever--United States, 2013: recommendations from CDC and the Q fever working group","volume":"67","author":"A. 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