Q fever
disease diseaseOn this page
Also known as Coxiella burnetii caused disease or disorderCoxiella burnetii disease or disorderCoxiella burnetii feverCoxiella burnetii infectious diseaseCoxiellosisinfection due to Coxiella burnetiinine Mile feverQ fever pneumoniaquadrilateral feverquery fever
Summary
Q fever (MONDO:0019186) is a disease and 10 clinical trials. Top therapeutic interventions include doxycycline anhydrous. A subtype of primary bacterial infectious disease — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Prevalence: 1-9 / 1 000 000 (Europe) [Orphanet-validated]
- Phenotypes (HPO): 62
- Clinical trials: 10
Clinical features
Epidemiology
Prevalence records
23 prevalence record(s), Orphanet, top 20 (validated / broadest geography first):
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 1 000 000 | 0.16 | Europe | Validated |
| Annual incidence | <1 / 1 000 000 | 0.03 | United States | Validated |
| Annual incidence | 1-9 / 100 000 | 3 | Australia | Validated |
| Annual incidence | <1 / 1 000 000 | 0.08 | Belgium | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.26 | Bulgaria | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.4 | Croatia | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.32 | Cyprus | Validated |
| Annual incidence | <1 / 1 000 000 | 0.04 | Finland | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.26 | France | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.26 | Germany | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.1 | Greece | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.64 | Hungary | Validated |
| Annual incidence | <1 / 1 000 000 | 0.06 | Ireland | Validated |
| Annual incidence | <1 / 1 000 000 | 0.07 | Latvia | Validated |
| Annual incidence | <1 / 1 000 000 | 0.04 | Luxembourg | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.1 | Malta | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.18 | Netherlands | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.2 | Portugal | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.1 | Romania | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.1 | Slovenia | Validated |
Signs & symptoms
Clinical features (HPO)
62 HPO clinical features (Orphanet curated; top 50 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0032252 | Granuloma | Very frequent (80-99%) |
| HP:0000613 | Photophobia | Frequent (30-79%) |
| HP:0000988 | Skin rash | Frequent (30-79%) |
| HP:0001324 | Muscle weakness | Frequent (30-79%) |
| HP:0001744 | Splenomegaly | Frequent (30-79%) |
| HP:0001945 | Fever | Frequent (30-79%) |
| HP:0002014 | Diarrhea | Frequent (30-79%) |
| HP:0002017 | Nausea and vomiting | Frequent (30-79%) |
| HP:0002315 | Headache | Frequent (30-79%) |
| HP:0002910 | Elevated circulating hepatic transaminase concentration | Frequent (30-79%) |
| HP:0003326 | Myalgia | Frequent (30-79%) |
| HP:0003565 | Elevated erythrocyte sedimentation rate | Frequent (30-79%) |
| HP:0012378 | Fatigue | Frequent (30-79%) |
| HP:0000716 | Depression | Occasional (5-29%) |
| HP:0000790 | Hematuria | Occasional (5-29%) |
| HP:0000952 | Jaundice | Occasional (5-29%) |
| HP:0000979 | Purpura | Occasional (5-29%) |
| HP:0001392 | Abnormality of the liver | Occasional (5-29%) |
| HP:0001433 | Hepatosplenomegaly | Occasional (5-29%) |
| HP:0001511 | Intrauterine growth retardation | Occasional (5-29%) |
| HP:0001518 | Small for gestational age | Occasional (5-29%) |
| HP:0001562 | Oligohydramnios | Occasional (5-29%) |
| HP:0001622 | Premature birth | Occasional (5-29%) |
| HP:0001626 | Abnormality of the cardiovascular system | Occasional (5-29%) |
| HP:0001824 | Weight loss | Occasional (5-29%) |
| HP:0001873 | Thrombocytopenia | Occasional (5-29%) |
| HP:0001878 | Hemolytic anemia | Occasional (5-29%) |
| HP:0001903 | Anemia | Occasional (5-29%) |
| HP:0002039 | Anorexia | Occasional (5-29%) |
| HP:0002090 | Pneumonia | Occasional (5-29%) |
| HP:0002240 | Hepatomegaly | Occasional (5-29%) |
| HP:0002360 | Sleep abnormality | Occasional (5-29%) |
| HP:0002633 | Vasculitis | Occasional (5-29%) |
| HP:0002829 | Arthralgia | Occasional (5-29%) |
| HP:0002922 | Increased CSF protein concentration | Occasional (5-29%) |
| HP:0002923 | Rheumatoid factor positive | Occasional (5-29%) |
| HP:0003262 | Smooth muscle antibody positivity | Occasional (5-29%) |
| HP:0003613 | Antiphospholipid antibody positivity | Occasional (5-29%) |
| HP:0010702 | Increased circulating antibody level | Occasional (5-29%) |
| HP:0011227 | Elevated circulating C-reactive protein concentration | Occasional (5-29%) |
| HP:0012115 | Hepatitis | Occasional (5-29%) |
| HP:0012735 | Cough | Occasional (5-29%) |
| HP:0020136 | Anticardiolipin IgG antibody positivity | Occasional (5-29%) |
| HP:0030166 | Night sweats | Occasional (5-29%) |
| HP:0033430 | Non-infectious meningitis | Occasional (5-29%) |
| HP:0040186 | Maculopapular exanthema | Occasional (5-29%) |
| HP:0100584 | Endocarditis | Occasional (5-29%) |
| HP:0001082 | Cholecystitis | Very rare (<1-4%) |
| HP:0001287 | Meningitis | Very rare (<1-4%) |
| HP:0001698 | Pericardial effusion | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Q fever |
| Mondo ID | MONDO:0019186 |
| EFO | EFO:0005224 |
| MeSH | D011778 |
| Orphanet | 781 |
| DOID | DOID:11100 |
| ICD-10-CM | A78 |
| ICD-11 | 2113860626 |
| NCIT | C34970 |
| SNOMED CT | 186788009 |
| UMLS | C0034362 |
| MedGen | 48290 |
| GARD | 0007515 |
| MedDRA | 10037688, 10037731 |
| NORD | 1643 |
| Is cancer (heuristic) | no |
Also known as: Coxiella burnetii caused disease or disorder · Coxiella burnetii disease or disorder · Coxiella burnetii fever · Coxiella burnetii infectious disease · Coxiellosis · infection due to Coxiella burnetii · nine Mile fever · Q fever pneumonia · quadrilateral fever · query fever
Disease family
This is a subtype of primary bacterial infectious disease. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by etiologic mechanism › disease of primarily extrinsic mechanism › infectious disease › bacterial infectious disease › primary bacterial infectious disease › Q fever
Related subtypes (36): Buruli ulcer disease, sennetsu fever, salmonellosis, pinta disease, chancroid, gonorrhea, anthrax infection, leprosy, botulism, diphtheria, tetanus, bartonellosis, brucellosis, campylobacteriosis, glanders, granuloma inguinale, legionellosis, leptospirosis, listeriosis, Mycobacterium avium complex disease, ornithosis, rhinoscleroma, staphyloenterotoxemia, syphilis, cholera, ehrlichiosis, melioidosis, tuberculosis, tularemia, plague, shigellosis, Lyme disease, relapsing fever, spirillary rat-bite fever, streptobacillary rat-bite fever, Borrelia miyamotoi disease
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
No druggable-target or therapeutic data for this disease’s cohort.
Clinical trials & evidence
Clinical trials
Clinical trials: 10.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 7 |
| PHASE2 | 2 |
| PHASE4 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01318356 | PHASE4 | COMPLETED | The Qure Study: Q-fever Fatigue Syndrome - Response to Treatment |
| NCT00584454 | PHASE2 | COMPLETED | Safety Evaluation of a Q-fever Vaccine, NDBR 105 |
| NCT02092142 | PHASE2 | WITHDRAWN | Safety and Immunogenicity of Q Fever Vaccine |
| NCT06859619 | Not specified | NOT_YET_RECRUITING | Serological Measurement of Montpellier Professionals’ Contacts with Infectious Agents Responsible for Animal-borne Diseases |
| NCT07358910 | Not specified | RECRUITING | Risk Assessment of Community Spread of Multiple Endemic Infectious Diseases in a One Health Perspective |
| NCT01095328 | Not specified | UNKNOWN | A Screening Strategy for Q Fever Among Pregnant Women |
| NCT01450501 | Not specified | UNKNOWN | Chronic Q-fever in Patients With an Abdominal Aortic Disease (QAAD-study) |
| NCT02822807 | Not specified | COMPLETED | Q Fever and Auto-immunity |
| NCT02898402 | Not specified | COMPLETED | Study on Seroprevalence and Risk Factors of Coxiella Burnetii (Q Fever) in the South of Reunion Island |
| NCT03334019 | Not specified | UNKNOWN | Prevalence and Risk Factors for Coxiella Burnetii Seropositivity (Q Fever) Among Adults in Western France |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| DOXYCYCLINE ANHYDROUS | 4 | 3 |
Related Atlas pages
- Drugs: Doxycycline