coxiella burnetii infection in a community operating a large-scale cow and goat dairy, missouri, 2013. | coxiella burnetii is a zoonotic pathogen that causes q fever in humans and is transmitted primarily from infected goats, sheep, or cows. q fever typically presents as an acute febrile illness; however, individuals with certain predisposing conditions, including cardiac valvulopathy, are at risk for chronic q fever, a serious manifestation that may present as endocarditis. in response to a cluster of q fever cases detected by public health surveillance, we evaluated c. burnetii infection in a com ... | 2016 | 26811433 |