A multiplex PCR based assay was developed for the highly sensitive and spec
ific detection of Coxiella (C.) burnetii in cow's milk. The assay simultane
ously amplifies a diagnostic target within the C. burnetii IS1111 sequence
and a control target within the bovine CD18 gene. The internal PCR amplific
ation control allows the discrimination of false negative results (single t
ube reaction failures) from negative results due to true absence of target
sequences. In order to maximize the sensitivity of the assay, a sample prep
aration method including a centrifugation step to concentrate the bacterium
was developed. In milk samples artificially contaminated with serial dilut
ions of C. burnetii, about four particles per mi could reproducibly be dete
cted. The sensitivities of both assays, multiplex PCR and PCR with only a s
ingle pair of primers ('simplex' PCR), were observed to be similar.