Case Report: Pneumonia with a question mark?

Q-fever (or query fever) is a disease that in its acute form is usually accompanied by flu-like signs of infection, occasional fever, headache, and myalgia. The cause is a mostly zoonotically transmitted infection with Coxiella burnetii. Case Report: Here we report a case of apparently uncomplicated lobar pneumonia with a headache, which did not respond to various antibiotics and analgesics. After extending our diagnostic workup, we were able to establish a case of acute Q-fever with meningeal, hepatic, and pulmonary involvement. After switching to doxycycline, symptoms resolved. This rare case of acute Q fever demonstrates the importance of re-evaluating the initial diagnosis and adjusting therapy if necessary.