Burnetii and hematoxylin were used for staining; original magnification is ×50. This organism is uncommon, but may be found in cattle, sheep, goats, and other domestic mammals, including cats and dogs. The infection results from inhalation of a spore-like small-cell variant, and from contact with the milk, urine, feces, vaginal mucus, or semen of infected animals. The most common manifestation is flu-like symptoms with abrupt onset of fever, malaise, profuse perspiration, severe headache, muscle pain, joint pain, loss of appetite, upper respiratory problems, dry cough, pleuritic pain, chills, confusion, and gastrointestinal symptoms, such as nausea, vomiting, and diarrhea. Can chloroquine abort pregnancy Chloroquine phosphate fish Cost hydroxychloroquine Other forms of chronic Q fever include infections of vascular aneurysms, bone, liver, or reproductive organs. Top of Page. Diagnosis. Several aspects of Q fever make it challenging for healthcare providers to diagnose and treat. The symptoms vary from patient to patient and can be difficult to distinguish from other diseases. The tetracycline antibiotic doxycycline, in combination with hydroxychloroquine OHCQ, is recommended for the long-term treatment of Q fever endocarditis 18 months for native valves and 24 months for prosthetic valves 14, 15. Hydroxychloroquine is a quinoline medicine used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. This medicine is not effective against all strains of malaria. During its course, the disease can progress to an atypical pneumonia, which can result in a life-threatening acute respiratory distress syndrome, whereby such symptoms usually occur during the first four to five days of infection. About half of infected individuals exhibit no symptoms. Hydroxychloroquine q fever HYDROXYCHLOROQUINE - ORAL Plaquenil side effects., Abnormal Weight Gain and Gut Microbiota Modifications Are. Plaquenil retinal toxicity doseDoes hydroxychloroquine cause lymphomaPlaquenil sulfate 200 mg Hydroxychloroquine may not prevent malaria in all cases. If you experience fever or other symptoms of illness, seek immediate medical attention. You may need a different medication. Hydroxychloroquine Oral Uses, Side Effects, Interactions.. Hydroxychloroquine Uses, Dosage & Side Effects -. Q Fever Endocarditis in HIV-Infected Patient - Volume 10.. Q fever is caused by inhalation or ingestion of the bacterium Coxiella burnetii. People are most often exposed to the bacterium from the milk, urine and feces of infected animals for example, by inhaling contaminated air in a barnyard. Plaquenil is the brand name for the prescription drug hydroxychloroquine. For example, it may be combined with an antibiotic to treat chronic Q-fever. Coxiella burnetii is the etiologic agent of Q fever. It is a small Gram-negative bacterium that grows only in eukaryotic cells 38. Within these cells it multiplies in an acidic vacuole, pH 4.8.