Investigation of a Focus of Q Fever in a Nonfarming Population in the Federation of Bosnia and Herzegovina
Q fever is a worldwide zoonosis caused by Coxiella burnetii . 1 Most human infections follow contact with parturient ruminants, although occasional infections have also been linked to contact with infected cats, dogs, wild animals, and pigeons. 1 Disease outbreaks have also been reported in towns downwind to birthing infected animals due to windborne spread of contaminated dust. 2 C. burnetii infection has been previously reported in both humans and animals from central and eastern Europe, including Croatia and Bosnia-Herzegovina. 3 − 5 Q fever has historically been considered enzootic in this region.