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Public Health
Seattle & King County
999 3rd Ave, Ste. 1200
Seattle, WA 98104

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Phone: 206-296-4600
TTY Relay: 711

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Home » Communicable disease facts » Q Fever

Communicable Diseases and Epidemiology
Q Fever

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What is it?

Adobe Acrobat Reader icon Q Fever fact sheet also available in Adobe PDF format.
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Symptoms

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How is it spread?

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Diagnosis and treatment

Report all King County cases to Public Health by calling
206-296-4774

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Prevention

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Resources


What is it?

  • Q fever is a disease caused by a type of bacteria named Coxiella burnetii.

  • Q fever is primarily a disease of cattle, sheep, and goats. Other livestock and pets can also get Q fever. Most animals have no symptoms; C. burnetii infection may cause abortion in sheep and goats.

Symptoms

  • Only about 50% of all people infected with C. burnetii become ill, but the illness can be severe.  Symptoms of acute Q fever cases may include:

    • high fevers
    • weakness
    • sore throat
    • dry cough
    • confusion
    • chills and sweats
    • chest pain
    • severe headache
    • muscle ache
    • nausea
    • vomiting
    • diarrhea
    • abdominal pain

  • Fever usually lasts for 1 to 2 weeks and most cases recover within a couple of months without treatment. Weight loss and pneumonia are common.

  • Chronic Q fever is uncommon but much more serious and can affect the heart. It is more common in persons with heart disease, cancer, chronic kidney disease, or organ transplants.

How is it spread?

  • Infection occurs by inhaling dust contaminated by dried placental material, birth fluids, as well as urine and feces from infected animals.

  • The risk of infection is greatest close to the source of bacteria, but there have been cases of infection even several miles away.

  • Accidentally inhaling contaminated milk is a less common way of infection.

Diagnosis and treatment

  • Q fever infection is diagnosed with blood tests or by finding the organism in tissues using DNA detection methods.

  • Antibiotic treatment is most effective if started early in the course of illness.

  • Chronic Q fever infection of the heart is very difficult to treat. Treatment may take several years and sometimes requires surgery to remove damaged heart valves.

Prevention

  • Avoid exposure to infected animals, especially if you have heart-valve disease or vascular grafts.

  • Precautions for persons who work with animals (i.e., veterinarians, meat processing plant workers, sheep and dairy workers, livestock farmers, and researchers at facilities housing sheep) include:

    • Appropriate disposal of the placenta, other birth products and aborted fetuses of sheep and goats.

    • Restricted access to laboratories and barns with infected or at-risk animals.

    • Use of appropriate procedures for bagging & disinfecting work clothes.

  • Consume only pasteurized milk and milk products.

  • Q fever vaccine is not commercially available in the United States.

Resources

Updated: Tuesday, May 22, 2007 at 09:42 AM

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please call 206-296-4600 (voice) or TTY Relay: 711. Mailing address: ATTN: Communications Team, Public Health - Seattle & King County, 999 3rd Ave., Suite 1200, Seattle, WA 98104 or click here to email us. Because of confidentiality concerns, questions regarding client health issues cannot be responded to by e-mail. Click here for the Notice of Privacy Practices. For more information, contact the Public Health Privacy Office at 206-205-5975.

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