{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T05:52:41Z","timestamp":1768801961951,"version":"3.49.0"},"reference-count":20,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["AMicr"],"published-print":{"date-parts":[[2024,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a case of exposure to <jats:italic>Coxiella burnetii<\/jats:italic> in a surgical nurse who underwent an injury of her finger with a scalpel blade during a native aortic valve replacement with a bio-prosthetic cardiac valve conducted on a patient suffering from <jats:italic>C. burnetii<\/jats:italic> aortic endocarditis. Given the positivity of <jats:italic>C. burnetii<\/jats:italic> culture and PCR from the patient's aortic valve, she was prescribed prophylactic doxycycline 100\u2009mg twice a day for 10 days. Q fever is an occupational zoonosis resulting usually of exposure to infected animals by inhalation of infected aerosols or consumption of contaminated raw milk. Apart from materno-foetal transmission, about 180 cases of human-to-human <jats:italic>C<\/jats:italic>. <jats:italic>burnetii<\/jats:italic> transmission have been published from 1949 to today, including transmission by blood transfusion, sexual relations, transmission in the healthcare setting to staff, patient attendants and other patients that were likely infected from inhalation of aerosol from respiratory or placental products, transmission to staff during autopsies of patients with Q fever and transmission in familial settings. As <jats:italic>C. burnetii<\/jats:italic> is a highly infectious bacterium, that may cause infection with a low inoculum, it should be added to the list of organisms which may be of concern following blood exposure among healthcare professionals.<\/jats:p>","DOI":"10.1556\/030.2024.02240","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T11:27:57Z","timestamp":1710156477000},"page":"76-81","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Occupational exposure to Coxiella burnetii during cardiac surgery: A case report and review of the literature"],"prefix":"10.1556","volume":"71","author":[{"given":"Patient","family":"Diwunga","sequence":"first","affiliation":[{"name":"IHU-M\u00e9diterran\u00e9e Infection, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthieu","family":"Million","sequence":"additional","affiliation":[{"name":"IHU-M\u00e9diterran\u00e9e Infection, Marseille, France"},{"name":"Aix Marseille University, IRD, AP-HM, MEPHI, Marseille, France"},{"name":"Centre National de R\u00e9f\u00e9rence Rickettsies, Bartonella et Coxiella, 13005 Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Ravaux","sequence":"additional","affiliation":[{"name":"IHU-M\u00e9diterran\u00e9e Infection, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre Edouard","family":"Fournier","sequence":"additional","affiliation":[{"name":"IHU-M\u00e9diterran\u00e9e Infection, Marseille, France"},{"name":"Centre National de R\u00e9f\u00e9rence Rickettsies, Bartonella et Coxiella, 13005 Marseille, France"},{"name":"Aix Marseille University, IRD, AP-HM, SSA, VITROME, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1664-958X","authenticated-orcid":true,"given":"Philippe","family":"Gautret","sequence":"additional","affiliation":[{"name":"IHU-M\u00e9diterran\u00e9e Infection, Marseille, France"},{"name":"Aix Marseille University, IRD, AP-HM, SSA, VITROME, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Lancet","first-page":"1028","article-title":"Q fever in Great Britain; clinical account of eight cases","volume":"254","author":"Harman JB","year":"1949","unstructured":"Harman JB. Q fever in Great Britain; clinical account of eight cases. Lancet 1949; 254: 1028\u201330."},{"issue":"4","key":"B2","series-title":"J Am Med Assoc","first-page":"348","article-title":"Q fever: transmission from one human being to others","volume":"143","author":"Deutsch DL","year":"1950 May 27","unstructured":"Deutsch DL, Peterson ET. Q fever: transmission from one human being to others. J Am Med Assoc 1950 May 27; 143(4): 348\u201350."},{"key":"B3","series-title":"Z. Tropenmed. Parasitol.","first-page":"1","article-title":"Uber einen epidemischen Ausbruch\u00a0von Q-Fieber in einem Krankenhaus","volume":"2","author":"Siegert R","year":"1950","unstructured":"Siegert R, Simrock W, Stroder U. Uber einen epidemischen Ausbruch\u00a0von Q-Fieber in einem Krankenhaus. Z. Tropenmed. Parasitol. 1950; 2: 1\u201340."},{"key":"B4","series-title":"Arch Hyg Bakteriol","first-page":"48","article-title":"Die Q-fieber-epidemia am Niederrhein 1958","volume":"144","author":"Trub CLP","year":"1960","unstructured":"Trub CLP, Boese W, Posch J. Die Q-fieber-epidemia am Niederrhein 1958. Arch Hyg Bakteriol 1960; 144: 48\u201373."},{"key":"B5","series-title":"Dtsch Med Wochenschr","first-page":"1391","article-title":"Q-fever epidemic in an institute of human pathology","volume":"107","author":"Gerth HJ","year":"1982","unstructured":"Gerth HJ, Leidig U, Riemenschneider T. Q-fever epidemic in an institute of human pathology. Dtsch Med Wochenschr 1982; 107: 1391\u20135."},{"key":"B6","series-title":"N Engl J Med","first-page":"371","article-title":"Q fever during pregnancy-a risk for women, fetuses, and obstetricians","volume":"330","author":"Raoult D","year":"1994","unstructured":"Raoult D, Stein A. Q fever during pregnancy-a risk for women, fetuses, and obstetricians. 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