Diagnostic challenge of Q fever osteoarticular infection

Chronic Q fever presenting as bilateral extensor tenosynovitis: a case report and review of the literature

“…Moreover, Q fever may present as an asymptomatic disease or with limited systemic symptoms as in the present case (Francis et al, 2016). To our knowledge, there have been 55 reports of Q fever with osteoarticular involvement reported in the literature, including the present case (Table 1) (O'Donnell et al, 2007;Merhej et al, 2012;Galy et al, 2016;Stokes et al, 2016;Virk et al, 2017;Meriglier et al, 2018;Lundy et al, 2019;Dabaja-Younis et al, 2020;Waelbers et al, 2020;Dorfman et al, 2021;McKew and Gottlieb, 2021;Sim et al, 2021). Most cases presented as osteomyelitis or spondylodiscitis.…”