Exposure to feces can lead to disease. Laboratory outbreaks have occurred. Serologic tests are not helpful acutely but later may confirm diagnosis. This requires a baseline sample and another sample in 3-4 weeks. Hepatic ultrasound may show granulomatous hepatitis.
Hepatic ultrasound shows granulomatous hepatitis.
Provide supportive care. Consult infectious disease, especially if chronic Q fever is suspected. However, in chronic Q fever, exact antibiotics recommended for use are in a state of flux. Consult infectious disease prior to starting antibiotics in this situation. Antibiotics - Therapy must cover all likely pathogens in the context of the clinical setting.