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Q fever in the Netherlands: a concise overview and implications of the largest ongoing outbreak Delsing CE; Kullberg BJNeth J Med 2008[Oct]; 66 (9): 365-7Two outbreaks of Q fever were reported in the Netherlands in 2007 and 2008. The ongoing 2008 outbreak in the south-eastern part of the Netherlands is the largest community outbreak ever described, with 808 cases reported until August 2008. The changing epidemiology of Q fever is most likely related to intensive goat farming, and has important implications for the clinical care of patients in endemic areas. Treatment of community-acquired pneumonia has to take possible Q fever into account, and the high incidence of Q fever endocarditis and other manifestations of chronic Q fever require a specific diagnostic and therapeutic approach.|Disease Outbreaks/*statistics & numerical data[MESH]|Humans[MESH]|Netherlands/epidemiology[MESH]|Q Fever/*epidemiology[MESH]|Retrospective Studies[MESH] |
