Q fever is caused by Coxiella burnetti (Cb). Disease can be tick-borne, but most cases result from inhaling Cb-containing dust. Cattle, sheep and goats are the primary reservoirs.
Symptoms include high fevers up to 105°F, severe headache, malaise, myalgia, chills and/or sweats, cough, nausea, vomiting, diarrhea, abdominal pain, chest pain.
Acute symptoms include hepatitis and Pneumonia or chronic endocarditis.
Ticks that transmit Q fever include; Amblyomma americanum (lone star tick) and Dermacentor andersoni (Rocky Mountian wood tick). Multiple infections may be transmitted from the bite of the same tick.