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Travel Med Infect Dis. 2013 Mar-Apr;11(2):134-7. doi: 10.1016/j.tmaid.2012.11.001. Epub 2012 Dec 4.

Q fever in military and paramilitary personnel in conflict zones: case report and review.

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  • 1Brownlee Centre, Gartnavel General Hospital, Glasgow, United Kingdom.


We present the case of a 44-year-old civilian security officer medically evacuated from Iraq with acalculous cholecystitis and Guillain-Barré syndrome and subsequently found to have acute Q fever. The presenting features of Q fever in military and related personnel deployed to Iraq and Afghanistan are reviewed and the use of PCR in early diagnosis of Q fever is discussed. The atypical presentation in this case encourages clinicians to have a low threshold for considering Q fever as part of the differential diagnosis in soldiers and related personnel returning from these areas of high endemicity.

Copyright © 2012 Elsevier Ltd. All rights reserved.

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