Assertion: q fever | /r/HasProperty | endocarditis footnote
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text: Diagnosis can consist of: 1) Presence of clinical symptoms Footnote 11; 2) direct detection of antigen in the valvular tissues with immunofluorescence, electron microscopy or immunohistology in case of Q fever endocarditis Footnote 1, Footnote 4, Footnote 5; 3) Serological tests such as microagglutination, ELISA, CF