{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:57:09Z","timestamp":1790240229727,"version":"4.1.0"},"reference-count":41,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,7,6]]},"abstract":"<jats:p>Q fever is endemic in Australia, and during the period 2005\u20132013 our laboratory diagnosed 379 cases in New South Wales. To evaluate clinical symptoms, epidemiology, mode of diagnosis, antibody profiles, and treatment, a subset of 160 (42%) Q fever cases were analyzed in detail following the return of a questionnaire by the patient's doctor and from their laboratory reports. Overall, 82% patients were male and predominantly middle aged. The majority of patients (89%) had animal contact among which 63% were with cattle, 11% with sheep, and 7% with kangaroos. Clinical symptoms were nonspecific: myalgia (94%), fever (91%), headache (80%), acute fatigue (64%), and arthralgia (55%). Most cases (93%) were acute, and serology (immunofluorescence) was the main diagnostic modality. Positive real-time polymerase chain reaction results were useful in the diagnosis of both acute and chronic Q fever, as was the isolation of <jats:italic>Coxiella burnetii<\/jats:italic> in cell culture. Doxycycline was the antibiotic most commonly used.<\/jats:p>","DOI":"10.4269\/ajtmh.15-0828","type":"journal-article","created":{"date-parts":[[2016,5,3]],"date-time":"2016-05-03T02:13:19Z","timestamp":1462241599000},"page":"55-59","source":"Crossref","is-referenced-by-count":26,"title":["Endemic Q Fever in New South Wales, Australia: A Case Series (2005\u20132013)"],"prefix":"10.4269","volume":"95","author":[{"given":"Stephen R.","family":"Graves","sequence":"first","affiliation":[{"name":"Australian Rickettsial Reference Laboratory, Newcastle Branch, New South Wales, Australia."},{"name":"Department of Microbiology, Pathology North\u2013John Hunter Hospital, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminul","family":"Islam","sequence":"additional","affiliation":[{"name":"Australian Rickettsial Reference Laboratory, Newcastle Branch, New South Wales, Australia."},{"name":"Department of Microbiology, Pathology North\u2013John Hunter Hospital, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Med J Aust","first-page":"281","article-title":"\u201cQ\u201d fever, a new fever entity: clinical features, diagnosis and laboratory investigation","volume":"21","author":"Derrick","year":"1937"},{"key":"ref2","series-title":"Public Health Rep","first-page":"2259","article-title":"A filter-passing infectious agent isolated from ticks. 1. 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