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Q Fever

Swati Avashia, MD, FAAP, FACP, ABIHM Reviewed 06/2018
 


BASICS

DESCRIPTION

Zoonotic disease caused by Coxiella burnetii, a hearty organism that can survive for years in soil 
  • Infected animals are usually asymptomatic, although repeated pregnancy losses can o...

DIAGNOSIS

Diagnosis requires high degree of clinical suspicion. The presentation is often insidious, with protean clinical manifestations. Often, there is an unclear history of direct exposure to infe...

TREATMENT

GENERAL MEASURES

Hospitalization for severe infections, symptoms of congestive heart failure, or respiratory distress 

MEDICATION

Antibiotic therapy used only for symptomatic illness 

First Line

  • ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Follow-up serology at 3 and 6 months in all patients with acute Q fever (4)[C]. For patients at high risk for progression to chronic Q fever, ad...

REFERENCES

1
Chmielewski T, Tylewska-Wierzbanowska S. Q fever at the turn of the century. Pol J Microbiol.  2012;61(2):81–93.  [View Abstract]
2
Centers for Disease Control and Prevention. Q fever: ...

CODES

ICD10

  • A78 Q fever

  • I39 Endocarditis and heart valve disord in dis classd elswhr

ICD9

  • 083.0 Q fever

  • 424.91 Endocarditis in diseases classified elsewhere

SNOMED

  • 186788009 Q fever (disorder)

  • 95890006 Q feve...

CLINICAL PEARLS

  • The diagnosis of Q fever requires a high degree of clinical suspicion.

  • Q fever is likely underdiagnosed. Consider in patients presenting with flulike symptoms in the setting of a known ...

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