Acute Q fever is protean in its manifestations, ranging from nonspecific febrile illness to hepatitis and pneumonia. Hospital admission is often necessary, although asymptomatic infections are also common. Early treatment… Click to show full abstract
Acute Q fever is protean in its manifestations, ranging from nonspecific febrile illness to hepatitis and pneumonia. Hospital admission is often necessary, although asymptomatic infections are also common. Early treatment may reduce the risk of persistent focal infections (most frequent: endocarditis) that affect about 4% of those infected.2 Persistent fatigue burdens as many as 60% of patients 12 months after infection; the exact pathogenesis of this symptom is unknown, but the impact on quality of life can be debilitating.3
               
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