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The important for treatment of acute HCV infection is fact that patients after passed viral hepatitis C (only anti-HCV positive) had proved chronic hepatitis by histologic examination of liver in future [ 1, 2, 6].
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But instability is a bad backdrop for building a new institution.The instability could prove chronic.
Interestingly, in one patient (Patient 6) with proven chronic infection no organism was cultured but the FIAU test was clearly positive.
However, when appropriate laboratory methods are used most people with chronic inflammation of the intestine of the Crohn's disease type are found to be infected with these proven chronic enteric pathogens [22] [27].
None of these investigations localized infection (otherwise the patient would have proven chronic Q fever).
In these cases, we are convinced that PCR-positivity proves chronic Q fever.
Patients with proven chronic intestinal pseudo-obstruction, including dilated gut, were included.
Symptomatic acute infection most often results in antibiotic treatment, which might reduce the chance of developing proven chronic Q fever.
Patients with proven chronic Q fever were diagnosed significantly more often with mycotic aneurysms than in previous case series.
According to the Dutch consensus on Q fever diagnostics, 18 patients had proven chronic Q fever, 14 probable chronic Q fever, and 20 possible chronic Q fever.
The Dutch Q fever consensus group provided a new guideline on the diagnosis of chronic Q fever discriminating 3 categories: possible, probable and proven chronic Q fever [ 15].
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