Q Fever

Question 1

What causes Q fever? Who tends to get it? How is it managed?

Answer 1

• Coxiella burnetti (flu-like illness)
• Abattoir/farm workers
• Acute
  
  • Antibiotics (doxycycline)
    
    • Co-trimoxazole and folate if pregnant
  • Endocarditis
    
    • Hydroxychloroquine (18 months) with doxycycline
• Prevention
  
  • Vaccination (check previous exposure with skin test as local reaction can be extreme if this is the case)
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