Q fever is an acute infectious disease caused by Coxiella burnetii. The infection has been reported from all continents of the world and occurs in sporadic and epidemic forms. Human infection is usually acquired by inhalation of the organisms from the tissues of infected domestic animals or their contaminated environment. In its classic form, Q fever has a sudden onset with fever, chills, malaise, weakness, and a severe headache. There is frequently a pneumonitis and, in some cases, signs of hepatic involvement. However, infection with C. Burnetii is usually mild and clinically unrecognized. In contrast to the other rickettsioses, there is no rash, and Proteus agglutinins do not develop. Chloramphenicol and the tetracyclines are highly effective except in cases of subacute endocarditis.
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Suggested Reading
Babudieri, B., Q fever: A zoonosis, Adv. Vet. Sci. 5:81–181 (1959).
Cracea, E., and Popovici, V., Febra Q la Om si Animale, Editura Ceres, Bucharest, 1975.
Giroud, P., and Capponi, M., La Fievre Q ou Maladie de Derrick et Burnet, Editions Médicales Flammarion, Paris, 1966.
Ormsbee, R. A., Q fever rickettsia, in: Viral and Rickettsial Diseases of Man (F. L. Horsfall and I. Tamm, eds.), pp. 1144–1160, Lippincott, Philadelphia, 1965.
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Fiset, P., Woodward, T.E. (1982). Q Fever. In: Evans, A.S., Feldman, H.A. (eds) Bacterial Infections of Humans. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1140-0_24
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