Outbreak of Q fever among US military in Western Iraq, June-July 2005
Clinical Infectious Diseases, Volume 46, No. 7, Year 2008
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An outbreak of Q fever occurred in 22 (58%) of 38 Marines deployed to Iraq in 2005. Fever (in 100% of patients), respiratory symptoms (76%), and gastrointestinal symptoms (53%) were common. Possible risk factors included dust and exposure to animals and ticks.