Dorko, Erik, Kalinova, Zuzana, Weissova, Tatiana et al. · Annals of agricultural and environmental medicine : AAEM · 2008
This study tested veterinary university employees in Slovakia for past or present infection with a bacteria called Coxiella burnetii, which causes Q fever—a disease spread mainly through contact with infected animals or their fluids. Researchers found that more than one-third of the employees had antibodies (immune markers) suggesting exposure to this bacteria, and some employees reported having chronic fatigue syndrome, fever of unknown origin, and other unexplained health problems.
This study is relevant to ME/CFS because it documents that Coxiella burnetii exposure is associated with chronic fatigue syndrome in at-risk occupational groups, suggesting a potential infectious trigger worth investigating in ME/CFS research. Understanding infections that can trigger post-infectious fatigue syndromes may help identify common pathways underlying ME/CFS pathogenesis.
This study does not prove that Coxiella burnetii causes ME/CFS, nor does it establish a causal link between Q fever and chronic fatigue—it only documents that some seropositive individuals reported chronic fatigue as part of their clinical history. The cross-sectional design cannot determine temporal relationship or whether the infection preceded the fatigue symptoms. No control group of non-seropositive employees with similar occupational exposure is presented for comparison.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Dorko, Erik, Kalinova, Zuzana, Weissova, Tatiana, & Pilipcinec, Emil (2008). Seroprevalence of antibodies to Coxiella burnetii among employees of the Veterinary University in Kosice, eastern Slovakia.. Annals of agricultural and environmental medicine : AAEM. https://pubmed.ncbi.nlm.nih.gov/18581989/
BibTeX
@article{mecfsatlas-dorko-2008-seroprevalence-antibodies,
author = {Dorko, Erik and Kalinova, Zuzana and Weissova, Tatiana and Pilipcinec, Emil},
title = {Seroprevalence of antibodies to Coxiella burnetii among employees of the Veterinary University in Kosice, eastern Slovakia.},
journal = {Annals of agricultural and environmental medicine : AAEM},
year = {2008},
note = {PubMed: 18581989},
url = {https://www.mecfsatlas.com/evidence/dorko-2008-seroprevalence-antibodies},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/dorko-2008-seroprevalence-antibodies
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