Coxiella burnetii, the agent of Q fever in Brazil: its hidden role in seronegative arthritis and the importance of molecular diagnosis based on the repetitive element IS1111 associated with the transposase gene

Coxiella burnetii is the agent of Q fever , an emergent worldwide zoonosis of wide clinical spectrum. Although C. burnetii infection is typically associated with acute infection, atypical pneumonia and flu-like symptoms, endocarditis, osteoarticular manifestations and severe disease are possible, especially when the patient has a suppressed immune system; however, these severe complications are typically neglected. This study reports the sequencing of the repetitive element IS1111 of the transposase gene of C. burnetii from blood and bronchoalveolar lavage (BAL) samples from a patient with severe pneumonia following methotrexate therapy, resulting in the molecular diagnosis of Q fever in a patient who had been diagnosed with active seronegative polyarthritis two years earlier. To the best of our knowledge, this represents the first documented case of the isolation of C. burnetii DNA from a BAL sample.

Soissons, [abbaye] St-Jean-des-Vignes, le triforium [dégâts dus à la guerre] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55108

Soissons, [abbaye] St-Jean-des-Vignes, cloître, porte 18e s. [dégâts dus à la guerre] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55107

Soissons, façade de St-Jean-des-Vignes [abbaye, dégâts dus à la guerre] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55103

Verdun, rue St Pierre [dégâts dus aux bombardements] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55241

A shared space. [Q]uality Plan of the Andalusian Public Health System 2010 - 2014

The Quality Plan aims to create an image of the health system as an intelligent system comprised of knowledge-generating organisations integrated into a much more comprehensive paradigm in line with knowledge societies; a health system which is part of an equally intelligent and innovative society that acknowledges the use of science and technology both as a source of welfare and as a means of solving many of its problems. The aim of this document is to collate the many activities which comprise three scenarios (citizens, professionals and shared space) and establish the roadmap for the quality policy strategies designed by the Ministry of Health of the Regional Government of Andalusia for the coming years and also to open the necessary channels of communication with society so that society itself, as well as being the beneficiary of the outcomes, also becomes the main protagonist.

Soissons, façade Sud de St-Jean-des-Vignes [abbaye, dégâts dus à la guerre] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55106

8/7/19 St François de Sales. Emmanuel Derode avec Melle Thiery[-Cherer] de Cabanes : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54781

2/6/19, remise des conditions de paix aux Autrichiens à St Germain [préliminaires au traité de Saint-Germain-en-Laye du 10 septembre, au château] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 54222

Verdun, rue du St Esprit [maintenant avenue de la Victoire, dégâts dus aux bombardements] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 55285