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THE JOURNAL OF INFECTIOUS DISEASES· VOL. 158, NO.2· AUGUST 1988 Q Fever in Patients with Hepatitis and to be tested for Q fever. The respiratory panel used by the par Pneumonia: Results of Laboratory-Based ticipating laboratories included tests for influenza virus types A Surveillance in the United States and B, adenovirus, mycoplasma, and, in some instances, Legionella, respiratory syncytial virus, and parainfluenza virus. COLLEAGUES - Q fever is caused by Coxiella burnetii, an obligate Paired serum specimens were available for most of the patients intracellular bacterium in the family Rickettsiaceae.After a two with respiratory infections. When multiple serum specimenswere to three-week incubation period, patients with Q feverexperience available from a singlepatient, acute-and convalescent-phase spec repeated rigors and fevers that may reach 104-105 F (40.0-40.6 C). imens were always tested, although the selection of appropriate Other symptoms of Q fever include severeheadache, retrobulbar pairs was left to the discretion of the respective state laborato pain, general malaise,myalgia,and chest pain. Acute Q fever may ries. Only single serum specimens were available from the pa also manifest as pneumonia or hepatitis, and in a few patients, tients with hepatitis. endocarditis develops years later and follows a chronic course. The case definition for
The Journal of Infectious Diseases – Oxford University Press
Published: Aug 1, 1988
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