Historical QOD 1/9/09: Which of the following would be an atypical presenting sign or symptom of Q fever? A: Fever B: Myalgias C: Hepatitis D: Cholecystitis E: Pneumonia
d. The classic presentation is a flu-like illness with fevers, sweats, cough, myaglias, and arthralgias. Acute acalculous cholecystits has been described with Q fever but it has only been described rarely (although 2 recent cases in US military personnel returning from Iraq have been reported).
Hartzell JD, Wood-Morris RN, Martinez LJ, Trotta RF. Q fever: epidemiology, diagnosis, and treatment. Mayo Clin Proc. 2008 May;83(5):574-9. doi: 10.4065/83.5.574. PMID: 18452690.
Contributed by: M Greenberg