@article{PAR00011619,
  title = {{E}mergence of {Q} fever arthritis in {F}rance},
  author = {{A}ngelakis, {E}. and {E}douard, {S}. and {L}afranchi, {M}. {A}. and {P}ham, {T}. and {L}afforgue, {P}. and {R}aoult, {D}idier},
  editor = {},
  language = {{ENG}},
  abstract = {{O}steoarticular infection is an uncommon presentation of {Q} fever. {P}ositron emission tomography ({PET}) scanning is a valuable tool for the diagnosis of {C}oxiella burnetii graft prosthesis infection and endocarditis. {O}ur objective was to test a series of culture-negative osteoarticular samples using molecular assays for {C}oxiella burnetii. {W}e tested for {C}. burnetii by molecular assays targeting the {IS}1111 and the {IS}30{A} spacer regions, using culture-negative osteoarticular samples obtained in our laboratory between {J}anuary 2011 and {D}ecember 2012. {W}e examine a total of 1,410 osteoarticular samples, and we observed two cases of arthritis and subacromial bursitis caused by {C}. burnetii. {T}he infections were localized using {PET} scanning, and the diagnosis was confirmed through serology. {F}or one, a {C}. burnetii strain with a multispacer sequence type 8 genotype was isolated from synovial fluid culture. {Q} fever articular infections could be undiagnosed because of the long evolution of articular attack, and patients with high antibody titers against {C}. burnetii should be tested using {PET} scanning to localize the site of infection.},
  keywords = {{FRANCE}},
  booktitle = {},
  journal = {{J}ournal of {C}linical {M}icrobiology},
  volume = {52},
  numero = {4},
  pages = {1064--1067},
  ISSN = {0095-1137},
  year = {2014},
  DOI = {10.1128/jcm.03371-13},
  URL = {https://www.documentation.ird.fr/hor/{PAR}00011619},
}