University of Wisconsin–Madison Medical College of Wisconsin

Pediatric Acute Q Fever in Rural Wisconsin: A Case Report

Taylor Boland Rigby, MD; Tyler Grunow, MD; Jillian Landeck, MD; Kathryn M. Schmit, MD; Jennifer Lochner, MD

WMJ. 2023;122(3):196-199

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ABSTRACT

Introduction: Q fever is a zoonotic disease with a variable clinical presentation and potentially fatal complications. While rare, it is more common in rural areas due to its transmission from animals, including cattle.

Case Presentation: A 3-year-old boy presented in December 2020 with intermittent fevers, headache, rash, and lymphadenopathy. After several months of symptoms, he was diagnosed with acute Q fever.

Discussion: This case demonstrates the importance of considering Q fever in the differential diagnosis when a patient presents with nonspecific infectious symptoms and an epidemiological link that places them at risk.

Conclusions: While rare, Q fever is a potentially serious infection that can affect people living in Wisconsin’s rural farming communities.


Author Affiliations: Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health (UWSMPH), Madison, Wisconsin (Rigby, Grunow, Landeck, Lochner); Department of Pediatrics, Division of Pediatric Infectious Diseases, UWSMPH, Madison, Wis (Schmit).
Corresponding Author: Taylor Boland Rigby, MD; Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, 1100 Delaplaine Ct, Madison, WI 53715-1896; phone 608.263.4550; email taylor.boland@fammed.wisc.edu; ORCID ID 0000-0002-1278-5373
Financial Disclosures: None declared.
Funding/Support: None declared.
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