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== Treatment == Treatment of acute Q fever with [[antibiotic]]s is very effective.<ref name="The Lecturio Medical Concept Library" /> Commonly used antibiotics include [[doxycycline]], [[tetracycline]], [[chloramphenicol]], [[ciprofloxacin]], and [[ofloxacin]]; the antimalarial drug [[hydroxychloroquine]] is also used.<ref name="The Lecturio Medical Concept Library" /> Chronic Q fever is more difficult to treat and can require up to four years of treatment with doxycycline and [[Quinolone antibiotic|quinolones]] or doxycycline with hydroxychloroquine.<ref name="The Lecturio Medical Concept Library" /> If a person has chronic Q fever, doxycycline and hydroxychloroquine will be prescribed for at least 18 months. Q fever in pregnancy is especially difficult to treat because doxycycline and ciprofloxacin are contraindicated in pregnancy. The preferred treatment for pregnancy and children under the age of eight is [[co-trimoxazole]].<ref>{{cite journal | vauthors = Carcopino X, Raoult D, Bretelle F, Boubli L, Stein A | title = Managing Q fever during pregnancy: the benefits of long-term cotrimoxazole therapy | journal = Clinical Infectious Diseases | volume = 45 | issue = 5 | pages = 548β555 | date = September 2007 | pmid = 17682987 | doi = 10.1086/520661 | doi-access = free }}</ref><ref>{{Cite web|date=20 July 2021|title=Query Fever - MARI REF|url=https://mariref.com/query-fever-professional/|url-status=live|archive-url=https://web.archive.org/web/20210827163844/https://mariref.com/query-fever-professional/|archive-date=2021-08-27|access-date=2021-08-27|website=Misdiagnosis Association and Research Institute|language=en-US}}</ref>
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