摘要: The non-specific presentation of acute Q fever makes it difficult to diagnose in children, but untreated can result chronic infections that have severe complications. Pediatric cases continue be infrequently reported the literature, and primarily document persistent with Coxiella burnetii. Standardized treatment protocols for children still do not exist. Doxycycline hydroxychloroquine are combination most utilized by healthcare providers treat endocarditis or osteomyelitis a variety other antibiotic combinations been varying results. use adjunctive therapies, such as interferon gamma, has produced mixed outcomes. true impact burnetii on health remains unknown; long-term longitudinal follow-up reported. Both forms underreported underdiagnosed. Healthcare should consider pediatric patients culture-negative osteomyelitis.