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Abstract
Coxiella burnetii is the cause of Q fever, which is a zoonosis. Although the disease is mostly asymptomatic, it can progress to different clinical forms. Myocarditis is rarely seen in acute Q fever. In this report, we present a 40-year-old male patient who applied to the emergency department with complaints of abdominal pain and fever and was followed with the diagnosis of cholangitis. He was later transferred to the intensive care unit after developing heart failure and was diagnosed with Q fever myocarditis. We present this case to bring attention to the severe clinical course and the unusual onset of Q fever.