Understanding Q Fever: A Comprehensive Patient Guide

An Overview of Causes, Symptoms, and Treatment Options

Internal Medicine

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Last updated: Mar 24, 2025

What is Q Fever?

Q fever is a bacterial infection caused by Coxiella burnetii, primarily transmitted from animals to humans. The 'Q' stands for 'query,' as the cause was initially unknown when first discovered.

Transmission

  • Contact with infected animals (especially cattle, sheep, and goats)
  • Inhalation of contaminated dust or particles
  • Consumption of unpasteurized dairy products
  • Rarely, human-to-human transmission

Common Symptoms

Acute Q Fever

  • High fever (up to 104°F/40°C)
  • Severe headache
  • Muscle aches
  • Chills and sweating
  • Fatigue
  • Nausea and vomiting

Chronic Q Fever

  • Endocarditis (heart valve infection)
  • Chronic fatigue
  • Recurring fever
  • Joint pain
  • Weight loss

Diagnosis

Diagnosis typically involves:

  • Blood tests for antibodies
  • PCR testing
  • Medical history review
  • Chest X-rays

Treatment Options

  1. Acute Q Fever:

    • Antibiotics (typically doxycycline)
    • Rest and hydration
    • Fever reduction medications
  2. Chronic Q Fever:

    • Long-term antibiotic therapy
    • Regular monitoring
    • Possible heart valve surgery

Prevention

  • Avoid contact with potentially infected animals
  • Consume only pasteurized dairy products
  • Practice good hand hygiene
  • Wear protective equipment when working with animals

When to Seek Medical Care

Contact your healthcare provider if you experience:

  • Persistent high fever
  • Severe headache
  • Chest pain
  • Shortness of breath
  • Symptoms lasting more than two weeks

Risk Groups

  • Farmers and ranchers
  • Veterinarians
  • Laboratory workers
  • Slaughterhouse workers
  • Pregnant women

Long-term Outlook

Most acute cases resolve within 2-3 weeks with proper treatment. Chronic cases require long-term management and monitoring.

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