Barten Dennis G, Gulikers Donné E J, Versteegen Marieke G J, Thimister Willie P W L, de Mast Quirijn, Bleeker-Rovers Chantal P
Department of Emergency Medicine, VieCuri Medical Center, PO Box 1926, 5900 BX Venlo, The Netherlands.
Department of Internal Medicine, VieCuri Medical Center, PO Box 1926, 5900 BX, Venlo, The Netherlands.
Am J Emerg Med. 2015 Jun;33(6):862.e1-3. doi: 10.1016/j.ajem.2014.12.043. Epub 2014 Dec 30.
fever is a zoonosis caused by Coxiella burnetii, which occurs worldwide. After acute Q fever infection, 1% to 5% of patients develop chronic Q fever. Chronic Q fever usually presents as endocarditis or endovascular infection. The diagnosis and localization of chronic Q fever are challenging, as most patients present with nonspecific symptoms. Moreover, it often occurs in patients without a known episode of acute infection.