{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:33:54Z","timestamp":1792611234958,"version":"4.5.0"},"reference-count":69,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","license":[{"start":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T00:00:00Z","timestamp":1660694400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,17]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    In French Guiana, community-acquired pneumonia (CAP) represents over 90% of\n                    <jats:italic>Coxiella burnetii<\/jats:italic>\n                    acute infections. Between 2004 and 2007, we reported that\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    was responsible for 24.4% of the 131 CAP hospitalized in Cayenne. The main objective of the present study was to determine whether the prevalence of Q fever pneumonia remained at such high levels. The secondary objectives were to identify new clinical characteristics and risk factors for\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    pneumonia. A retrospective case-control study was conducted on patients admitted in Cayenne Hospital, between 2009 and 2012. All patients with CAP were included. The diagnosis of acute Q fever relied on titers of phase II IgG \u2265 200 and\/or IgM \u2265 50 or seroconversion between two serum samples. Patients with Q fever were compared with patients with non-\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    CAP in bivariate and multivariate analyses. During the 5-year study, 275 patients with CAP were included. The etiology of CAP was identified in 54% of the patients.\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    represented 38.5% (106\/275; 95% CI: 31.2\u201345.9%). In multivariate analysis, living in Cayenne area, being aged 30\u201360 years, C-reactive protein (CRP) &gt; 185 mg\/L, and leukocyte count &lt; 10 G\/L were independently associated with Q fever. The prevalence of Q fever among CAP increased to 38.5%. This is the highest prevalence ever reported in the world. This high prevalence justifies the systematic use of doxycycline in addition to antipneumococcal antibiotic regimens.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.21-0711","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T09:35:29Z","timestamp":1660728929000},"page":"407-415","source":"Crossref","is-referenced-by-count":15,"title":["Q Fever as a Cause of Community-Acquired Pneumonia in French Guiana"],"prefix":"10.4269","volume":"107","author":[{"given":"Lo\u00efc","family":"Epelboin","sequence":"first","affiliation":[{"name":"Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andr\u00e9e Rosemon, Cayenne, French Guiana;"},{"name":"Equipe EA 3593, Ecosyst\u00e8mes Amazoniens et Pathologie Tropicale, Universit\u00e9 de la Guyane, Cayenne, Guyane fran\u00e7aise;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aba","family":"Mahamat","sequence":"additional","affiliation":[{"name":"Infectious and Tropical 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