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By W. Michael Scheld, William A. Craig, and James M. Hughes
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In 1948 the organism was isolated from milk, and in the same year it was demonstrated that aureomycin was an effective treatment for patients with Q fever (69). In 1950 Luoto and Huebner isolated C. burnetii from the placentas of parturient cows, and in 1956 Stoker and Fiset described antigenic phase variation of C. burnetii (69). Over the next 40 years additional reservoirs of C. burnetii were delineated and the various manifestations of Q fever were described. In particular, the clinical picture of acute Q fever was differentiated from that of chronic Q fever.
At this point, October 1936, he sent a saline emulsion of infected guinea pig liver to Frank Macfarlane Burnet, a virologist (and later a Nobel laureate) who was working at the Walter and Eliza Hall Institute in Melbourne. Burnet and his research associate Mavis Freeman found oval areas about the size of a nucleus in sections of spleen from a mouse that had been inoculated with Derrick's specimen. When these smears were stained by Castaneda's method, Chapter 3 • Q Fever 31 "bodies which appeared to be of rickettsial nature were found, sometimes in enormous numbers" (12).
Morb. Mortal. Wkly. Rep. 49:25-28. 9. , N. I. Nedelcu, G. Tardei, G. S. Ruta, and T. F. Tsai. 2000. Continued transmission of West Nile virus to humans in southeastern Romania, 1997-1998. J. Infect. Dis. 181:710-712. 9a. , N. Komar, F. Sorhage, R. Nelson, T. Talbot, F. Mostashari, R. McLean, and the West Nile Virus Avian MortaIity Surveillance Group. 2001. Crow deaths as a sentinel surveillance system for West Nile virus in the northeastern United States, 1999. Emerg. Infect. Dis. 7(4). htm. 10.