title: Q fever in the Netherlands from 2007 to 2010.
abstract: Since 2007, the Netherlands is faced with the largest outbreak of Q fever ever reported. In the last four years, over 4000 cases have been reported. The course of the epidemic and possible factors associated with this sudden surge in cases of Q fever is described and the preventive measures in the veterinary sector and the outbreak management of this unique epidemic are summarised. Finally, the latest data on clinical presentation and diagnostic and therapeutic dilemmas of Q fever in the Netherlands are reviewed.
authors.affiliation: Department of Internal Medicine Radboud Expertise Centre for Q fever, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands. C.Delsing@AIG.umcn.nl
authors.forename: C E
authors.initials: CE
authors.lastname: Delsing
authors.forename: B J
authors.initials: BJ
authors.lastname: Kullberg
authors.forename: C P
authors.initials: CP
authors.lastname: Bleeker-Rovers
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002908:Chronic Disease; D016997:Coxiella burnetii / Q000302:isolation & purification; D005221:Fatigue / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D011778:Q Fever / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents