Related Experiment Video
Updated: Oct 21, 2025

Induction of Paralysis and Visual System Injury in Mice by T Cells Specific for Neuromyelitis Optica Autoantigen Aquaporin-4
Published on: August 21, 2017
Peripheral nervous system involvement in Q fever
F Martínez-Dubarbie1, M Rollán-Martínez-Herrera2
1Neurology Service, 'Marqués de Valdecilla' University Hospital, Santander, Spain. dubarmar@hotmail.com.
Abstract:
Q fever is a zoonosis with a worldwide distribution caused by Coxiella burneti. Acute manifestations include a self-limited febrile illness which may associate headache, atypical pneumonia, or hepatitis. Neurological manifestations are rare, and they occur in less than half of the patients. Of these, approximately 1% present peripheral nervous system involvement, and, when present, it is difficult to diagnose because it has multiple manifestations such as mononeuritis multiplex, plexopathy or Guillain Barre syndrome. Due to the high rate of neurological sequelae, early diagnostic suspicion and appropriate treatment must be established. In this review, we have collected the patients with peripheral nervous system involvement due to Coxiella burnetii described so far. Our aim is to provide a concise description of the disease, its diagnosis and management that may be useful to clinicians treating such patients.
Insights
Q fever, a zoonotic disease caused by Coxiella burnetii, can rarely affect the peripheral nervous system. Early diagnosis and treatment are crucial due to potential neurological sequelae.
Area of Science:
- Infectious Diseases
- Neurology
- Zoonoses
Background:
- Q fever is a globally distributed zoonotic disease caused by Coxiella burnetii.
- Acute Q fever commonly presents with fever, headache, pneumonia, or hepatitis.
- Neurological manifestations are uncommon, with peripheral nervous system (PNS) involvement occurring in about 1% of cases.
Purpose of the Study:
- To review and consolidate reported cases of peripheral nervous system involvement in Q fever.
- To provide clinicians with a concise overview of diagnosis and management strategies for Q fever-related PNS disorders.
Main Methods:
- Systematic literature review of patients with peripheral nervous system involvement due to Coxiella burnetii.
- Analysis of clinical presentations, diagnostic approaches, and treatment outcomes.
Main Results:
- Peripheral nervous system involvement in Q fever presents with diverse manifestations, including mononeuritis multiplex, plexopathy, and Guillain-Barré syndrome.
- Diagnosis can be challenging due to the varied clinical presentations.
- Prompt diagnosis and treatment are essential to mitigate the risk of significant neurological sequelae.
Conclusions:
- Peripheral nervous system involvement is a rare but serious complication of Q fever.
- Clinicians should maintain a high index of suspicion for Q fever in patients presenting with unexplained neurological deficits.
- Effective management strategies are vital to improve patient outcomes and prevent long-term disability.
More Related Videos
Related Concept Videos
Peripheral Nervous System: Ganglia and Nerves
Nerves
The nerve is a bundle of axons that serves as the communication highway in the PNS. Each nerve is ensheathed in a protective layer of connective tissue called the epineurium. This outermost layer safeguards the nerve and supports the...
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Pericarditis I: Introduction
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Pneumonia II: Pathophysiology

