Infections might be severe or persistent, the last being mostly asymptomatic, except during pregnancy when the microorganisms may contaminate the placenta, leading to abortion, stillbirth, and also preterm birth. Most of the stillbirths occurred in the second and very early 3rd trimester. The overall contributions of Q high temperature to stillbirths, and also the actual geographical distribution of Q fever-associated stillbirths, is unknown.

hypoglycemia whipple's triad