C burnetii infection in livestock often goes unnoticed. In humans, acute C burnetii infection is often asymptomatic or mistaken for an influenza like illness or a typical pneumonia . In rare cases, C burnetii infection becomes chronic, with devastating results, especially in patients with pre excisting valvular heart disease.
Consultation with an infectious diseases specialist is necessary, particularly in cases of suspected chronic Q fever. In addition, consult an internist for admission and management of patients who are immunocompromised, elderly and In pregnant women, an obstetric consultation should also be considered. in case of q fever of canada
Acute Q fever is still present in Maritime Canada; however, the number of cases has diminished considerably from the 1980s and early 1990s. Since 2004, only 4–5 cases have been reported each year. The passive design of our study may have underestimated the number of cases. However, in the 1980s, a number of Q fever outbreaks involved entire families.