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Treatment with doxycycline 100\u202fmg two times per day and weight-adjusted hydroxychloroquine 200\u202fmg three times per day led to complete anatomical and functional recovery by month\u202f10, confirmed by serial imaging. This report emphasises that routine funduscopy should accompany systemic evaluation in Q-fever, because early detection and directed therapy can prevent permanent visual sequelae.<\/jats:p>","DOI":"10.1136\/bcr-2025-265412","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T08:35:38Z","timestamp":1752654938000},"page":"e265412","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Asymptomatic bilateral acute multifocal retinitis in Q fever endocarditis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3280-5773","authenticated-orcid":false,"given":"Carl","family":"Eiselen","sequence":"first","affiliation":[{"name":"Ophthalmology, Cairns Base Hospital, Cairns, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enzo","family":"Binotto","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Cairns Base Hospital, Cairns, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"O\u2019Hagan","sequence":"additional","affiliation":[{"name":"Ophthalmology, Cairns Base Hospital, Cairns, Queensland, Australia"},{"name":"Cairns Eye and Laser Centre, Edge Hill, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"2025082623484767000_18.7.e265412.1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.5694\/j.1326-5377.1937.tb43743.x","article-title":"'Q' Fever, a New Fever Entity: Clinical Features, Diagnosis and Laboratory Investigation","volume":"2","author":"Derrick","year":"1937","journal-title":"Med J Aust"},{"key":"2025082623484767000_18.7.e265412.2","unstructured":"Australian Technical Advisory Group on Immunisation (ATAGI) . 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