We hope that this case provided an authentic and useful learning platform. The goal of this exercise was to consider the possibility of EADs for commonly seen veterinary presentations, and think about how to manage scenarios involving EADs.
In this case, Q fever was the eventual final diagnosis. Points touched on included:
- The importance of Q fever as a zoonosis in Australia
- Methods of mitigating the zoonotic risk
- The broader food safety and public health implications of this outbreak, including the legal risks
- Respective roles of private and public sector veterinarians in an suspect EAD workup
Many of the other potential causes of this event were also zoonotic, many were notifiable, and two were exotic. EADs should always be included in differential diagnostic lists and their workup included, along with notification, wherever suspected. Practising veterinarians are the front line operatives who are most likely to encounter such incursions first and must be aware of the possibility, plus the emergency actions that need to be taken at the time.