Coxiella burnetii infection Q fever
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Diagnosis of either rheumatoid arthritis (RA), arthritis psoriatica or bechterew disease • Residence in Q fever endemic area (defined by the Institute for Public Health and Environment (RIVM) as *core area*), as determined by the postal code of their home address. • Signed written informed consent ;For patients on anti-TNF therapy: • Treatment with TNFa blockers either infliximab, etanercept or adalimumab in an adequate dose according to the guidelines • Treatment with TNFa blockers is started before 01-01-2011 ;For patients not receiving anti-TNF therapy: • Treatment with DMARDs • No history of treatment with TNFa blockers
Exclusion criteria
Exclusion criteria: • Age under 18 years • Pregnancy or lactation • Lymphoma, lymphoproliferative syndromes and other hematologic malignancies • Chronic infections, including HIV, hepatitis B or C, mycobacterial disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serology indicative of chronic Q fever or past Q fever infection. In-vitro cytokine production and/or monocyte/macrophage polarisation. The presence of genetic polymorphisms in genes involved in the innate immunity. | — |
Secondary
| Measure | Time frame |
|---|---|
| geen | — |
Countries
Netherlands