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Multigenotype Q Fever Outbreak, the Netherlands

Centers for Disease Control and Prevention
Publication Date
DOI: 10.3201/eid1504.081612
  • Letters To The Editor
  • Biology
  • Ecology
  • Geography
  • Medicine


Letters.indd LETTERS 4. Butler WR, Floyd MM, Brown J, Toney SR, Daneshvar M, Cooksey RC, et al. Novel mycolic acid–containing bacteria in the family Segniliparaceae fam. nov., in- cluding the genus Segniliparus gen. nov., with descriptions of Segniliparus rotundus sp. nov., and Segniliparus rugosus sp. nov. Int J Syst Evol Microbiol. 2005;55:1615– 24. 5. Brown-Elliott B, Beierle K, McGlasson M, Wallace R. MICs of non-tuberculous mycobacteria using the TREK Vizion sys- tem compared to manual readings. In: 18th European Congress of Clinical Microbiol- ogy and Infectious Diseases; Barcelona, Spain; 2008 April 19–22. Abstract R2410. 6. Clinical and Laboratory Standards Insti- tute (CLSI). Performance standards for antimicrobial testing; sixteenth informa- tional supplement. CLSI14 document M100–S16. Wayne (PA): The Institute; 2006. 7. National Committee on Clinical and Lab- oratory Standards (NCCLS). Susceptibil- ity testing of mycobacteria, nocardiae, and other aerobic actinomycetes; approved standard. NCCLS document M24–A. Wayne (PA): The Committee; 2003. 8. Butler WR, Guthertz LS. Mycolic acid analysis by high performance liquid chromatography for identifi cation of mycobacterium species. Clin Microbiol Rev. 2001;14:704–26. DOI: 10.1128/ CMR.14.4.704-726.2001 Address for correspondence: Tarrant Hansen, Pathology Queensland, Mycobacterium Reference Laboratory, Brisbane, Queensland, Australia; email: [email protected] Multigenotype Q Fever Outbreak, the Netherlands To the Editor: Q fever is a zoonosis caused by Coxiella burnetii (1). An ongoing Q fever outbreak has occurred in the Netherlands since 2007; incidence rates have increased >50-fold compared with the baseline rate (2). The source of this outbreak is unknown. Identifying the source of an infection is complicated because of diffi culties in obtaining suffi cient clinical and/or environmental samples for testing. Molecular diagnosis of Q fever has focu

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