Q fever is an infectious disease that is spread by domestic and wild animals and ticks.
Causes, incidence, and risk factors
Q fever is caused by the bacteria Coxiella burnetii, which lives in domestic animals such as cattle, sheep, goats, birds, and cats. Some wild animals and ticks also carry the bacteria.
You can get Q fever by drinking raw (unpasteurized) milk, or after inhaling dust or droplets in the air that are contaminated with animal feces, blood, or birth products.
Symptoms usually develop 2 to 3 weeks after coming in contact with the bacteria. This is called the incubation period. Most people may have no symptoms; others may have moderately severe symptoms similar to the flu. If symptoms occur, they may last for several weeks.
People at risk for infection include slaughterhouse workers, veterinarians, researchers, food processors, and sheep and cattle workers. Men are infected more often than women, and most people who get Q fever are between 30 and 70 years old.
This disease is occasionally seen in children, especially those who live on a farm. In infected children younger than 3 years old, Q fever is usually discovered during a search for the cause of pneumonia.
Blood tests to check for antibodies to Coxiella burnetti
Liver function test
Complete blood count (CBC)
Tissue staining on infected tissues to identify the bacteria
Electrocardiogram or echocardiogram to look at the heart
Treatment with antibiotics can shorten the length of the illness. Antibiotics that are commonly used include tetracycline and doxycycline. Tetracycline given by mouth should not be used by pregnant women or children who still have any baby teeth because it can permanently discolor growing teeth.
Most people get better with treatment. However, complications can be very serious and sometimes even life-threatening. Q fever should always be treated if it is recognized as the cause of symptoms.
Rarely, a heart infection results that can lead to severe symptoms or even death if untreated. Other complications can include:
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.