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Q fever — RACP Written MCQ

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ModerateInfectious DiseasesQ feverRACP Written

A 39-year-old abattoir worker from regional New South Wales has prolonged fever, sweats and severe headache. Liver enzymes are mildly abnormal and chest X-ray is clear. Serology later shows Coxiella burnetii infection. What is the most likely diagnosis?

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Correct answer: E — Q fever

Occupational exposure to livestock products with prolonged febrile illness and hepatitis pattern is typical of Q fever due to Coxiella burnetii.

Reference: Therapeutic Guidelines: Antibiotic; Australian infectious diseases practice principles