PMID- 27656302 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160922 LR - 20201001 IS - 2090-6625 (Print) IS - 2090-6633 (Electronic) VI - 2016 DP - 2016 TI - Q Fever Risk in Patients Treated with Chronic Antitumor Necrosis Factor-Alpha Therapy. PG - 4586150 LID - 10.1155/2016/4586150 [doi] LID - 4586150 AB - Q fever is a zoonotic bacterial disease caused by Coxiella burnetii. Tumor necrosis factor-alpha (TNF-alpha) plays a pivotal role in the defense against infection with this Gram-negative coccobacillus. Theoretically, patients who are treated with anti-TNF-alpha medications are at risk for developing chronic Q fever. We present two patients who developed Q fever while being treated with anti-TNF-alpha agents and discuss the significance of timely diagnosis of C. burnetii infection in these patients. FAU - Hirsch, Julianna AU - Hirsch J AUID- ORCID: 0000-0003-2911-2113 AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel. FAU - Astrahan, Anna AU - Astrahan A AD - Department of Internal Medicine A, Bnai Zion Medical Center, Haifa, Israel. FAU - Odeh, Majed AU - Odeh M AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Internal Medicine A, Bnai Zion Medical Center, Haifa, Israel. FAU - Elias, Nizar AU - Elias N AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Internal Medicine A, Bnai Zion Medical Center, Haifa, Israel. FAU - Rosner, Itzhak AU - Rosner I AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Rheumatology, Bnai Zion Medical Center, Haifa, Israel. FAU - Rimar, Doron AU - Rimar D AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Rheumatology, Bnai Zion Medical Center, Haifa, Israel. FAU - Kaly, Lisa AU - Kaly L AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Rheumatology, Bnai Zion Medical Center, Haifa, Israel. FAU - Rozenbaum, Michael AU - Rozenbaum M AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Rheumatology, Bnai Zion Medical Center, Haifa, Israel. FAU - Boulman, Nina AU - Boulman N AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Rheumatology, Bnai Zion Medical Center, Haifa, Israel. FAU - Slobodin, Gleb AU - Slobodin G AD - Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel; Department of Rheumatology, Bnai Zion Medical Center, Haifa, Israel. LA - eng PT - Journal Article DEP - 20160830 PL - Egypt TA - Case Rep Infect Dis JT - Case reports in infectious diseases JID - 101573243 PMC - PMC5021454 EDAT- 2016/09/23 06:00 MHDA- 2016/09/23 06:01 PMCR- 2016/08/30 CRDT- 2016/09/23 06:00 PHST- 2016/07/16 00:00 [received] PHST- 2016/08/22 00:00 [accepted] PHST- 2016/09/23 06:00 [entrez] PHST- 2016/09/23 06:00 [pubmed] PHST- 2016/09/23 06:01 [medline] PHST- 2016/08/30 00:00 [pmc-release] AID - 10.1155/2016/4586150 [doi] PST - ppublish SO - Case Rep Infect Dis. 2016;2016:4586150. doi: 10.1155/2016/4586150. Epub 2016 Aug 30.