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Table 1 Pregnant women with C. burnetii infection contracted during pregnancy.

From: Maternofetal consequences of Coxiella burnetii infection in pregnancy: a case series of two outbreaks

Trimester of Exposure

Cases [n]

Clinical signs of Q fever (n)

antibiotic treatment (n)

Gestational week at delivery

Condition of the infant (n)

PCR on placenta positive

culture on placenta positive

PCR on colostrum/ milk positive

PCR on amniotic fluid positive

Ph1-IgG > 1:800

1

3*

fever (1), none (2)

Until delivery:

40

syndactyly2 (1), well3 (1)

0/2

0/1

0/1

0/2

1

 · Clarithromycin (1)

 · Trimethoprim-Sulfamethoxazol (1)

 · (Sulfadiazin + Pyrimethamin for 2 weeks); Trimethoprim-Sulfamethoxazol + Pyrimethamin 1 (1)

2

4

none (4)

 · Trimethoprim-Sulfamethoxazol for one week (2)

40

RAD (1), well (3)

0/4

0/3

1/3

0/3

1

 · Clarithromycin after delivery (1)

   

 · Trimethoprim-Sulfamethoxazol for four weeks (1)

3

4

pneumonia**(1), fever (1), none (2)

 · Erythromycin/Clarithromycin for three weeks (1)

35-40

RDS (1), well (3), Oligoamnios (1)

0/2

0/2

0/1

0/14

0

 · without (2)

 · Amoxicillin followed by Imipenem (1)

  1. NOTE. * maternofetal death caused by an underlying disease other than Q fever (n=1), ** confirmed by Xray; 1 additional Toxoplasmose infection in pregnancy; 2toes II-III; 3 no C. burn-specific IgM-antibodies; 4 additional PCR on cord blood negative; RAD, respiratory adaption disorder; RDS, respiratory distress syndrome.