Kaabia, N, Letaief, A · Pathologie-biologie · 2009 · DOI
Q fever is an infection caused by bacteria from animals that spreads to humans, usually through breathing contaminated air. While most people infected have no symptoms or mild flu-like illness, some can develop a chronic form that includes long-term fatigue. This review examines how common Q fever is in Tunisia and why doctors there often miss or misdiagnose it.
This study is relevant to ME/CFS research because it documents chronic-fatigue syndrome as a recognized chronic sequela of Q fever infection, suggesting that post-infectious fatigue syndromes can occur following specific pathogenic exposures. Understanding Q fever's chronicity and presentation may inform investigation of post-infectious mechanisms in ME/CFS and highlight the importance of screening for infections when evaluating chronic fatigue cases.
This review does not establish causality between Q fever and ME/CFS, nor does it quantify how often chronic fatigue actually develops after Q fever infection. The study does not compare Q fever-related fatigue to idiopathic ME/CFS or explore mechanistic links between Coxiella infection and post-viral fatigue syndromes. Additionally, as a regional review from 2009, findings may not generalize to other populations or reflect current diagnostic practices.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Kaabia, N & Letaief, A (2009). [Q Fever in Tunisia].. Pathologie-biologie. https://doi.org/10.1016/j.patbio.2008.04.009
BibTeX
@article{mecfsatlas-kaabia-2009-fever-tunisia,
author = {Kaabia, N and Letaief, A},
title = {[Q Fever in Tunisia].},
journal = {Pathologie-biologie},
year = {2009},
doi = {10.1016/j.patbio.2008.04.009},
note = {PubMed: 18554822},
url = {https://www.mecfsatlas.com/evidence/kaabia-2009-fever-tunisia},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-28. https://www.mecfsatlas.com/evidence/kaabia-2009-fever-tunisia
Contribute
Private, reviewed by a human. Not a public comment thread.