title: Q fever in members of the United States armed forces returning from Iraq.
abstract: Large numbers of armed forces personnel returning from southwest Asia may present with infections that are not endemic to the United States or that occur rarely and are underdiagnosed in the United States. We report 2 cases of acute Q fever in members of the US Military recently returned from Iraq. Because a number of recent reports suggest that the risk of Q fever may be higher than initially thought among US forces deployed to this region, clinicians need to have a high index of clinical suspicion, an understanding of the available diagnostic tests, and knowledge regarding the methodology and capabilities of the laboratory to which specimens are submitted.
authors.affiliation: Department of Internal Medicine, David Grant US Air Force Medical Center, Travis Air Force Base, California, USA.
authors.forename: Charmaine
authors.initials: C
authors.lastname: Leung-Shea
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Danaher
mesh_terms: D000328:Adult; D016997:Coxiella burnetii / Q000302:isolation & purification*; D006099:Granuloma / Q000209:etiology; D006801:Humans; D007493:Iraq; D008099:Liver / Q000002:abnormalities; D008297:Male; D008889:Military Personnel; D011014:Pneumonia / Q000382:microbiology; D011778:Q Fever / Q000175:diagnosis* / Q000188:drug therapy; D012698:Serologic Tests / Q000379:methods*; D014481:United States; D014728:Veterans