title: Two rare severe and fulminant presentations of Q fever in patients with minimal risk factors for this disease.
abstract: We described two rare severe and fulminant clinical presentations of acute Q fever. The first patient had severe multiorgan failure. The second patient had fever and severe cholera-like diarrhoea. Coxiella burnetii polymerase chain reaction on blood or serum can be clinically useful in the diagnosis of acute Q fever before seroconversion.
authors: Infection Management Service, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia. wendy_munckhof@health.qld.gov.au
authors: W J
authors: WJ
authors: Munckhof
authors: N
authors: N
authors: Runnegar
authors: T J
authors: TJ
authors: Gray
authors: C
authors: C
authors: Taylor
authors: C
authors: C
authors: Palmer
authors: A
authors: A
authors: Holley
mesh_terms: D000328:Adult; D016997:Coxiella burnetii; D003967:Diarrhea / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D011778:Q Fever / Q000097:blood* / Q000175:diagnosis* / Q000628:therapy; D012307:Risk Factors; D012772:Shock, Septic / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome