Treatment

Q fever is treated with the antibiotic doxycycline. How long you take the medicine depends on whether or not you have acute or chronic Q fever. For acute infections, antibiotic treatment lasts two to three weeks.

People who have chronic Q fever usually must take a combination of antibiotics for at least 18 months. Even after successful chronic Q fever treatment, you'll need to go back for follow-up tests for years in case the infection returns.

Mild or nonsymptomatic cases of acute Q fever often get better with no treatment. However, if you have symptoms of Q fever or if you're pregnant, antibiotic treatment is recommended. Your treatment plan may vary if you're unable to take doxycycline.

If you have Q fever endocarditis, you may need surgery to replace damaged heart valves.

Aug. 29, 2017
References
  1. Longo DL, et al., eds. Rickettsial diseases. In: Harrison's Principles of Internal Medicine. 19th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://accessmedicine.mhmedical.com. Accessed Feb. 22, 2017.
  2. Raoult D. Clinical manifestations and diagnosis of Q fever. http://www.uptodate.com/home. Accessed Feb. 22, 2017.
  3. Raoult D. Treatment and prevention of Q fever. http://www.uptodate.com/home. Accessed Feb. 22, 2017.
  4. Q fever. Centers for Disease Control and Prevention. https://www.cdc.gov/qfever/index.html. Accessed Feb. 22, 2017.
  5. Papadakis MA, et al., eds. Viral and rickettsial infections. In: Current Medical Diagnosis & Treatment 2017. 56th ed. New York, N.Y.: McGraw-Hill Education; 2017. http://www.accessmedicine.mhmedical.com. Accessed Feb. 22, 2017.