Table 2.

Treatment recommendations for brucellosis, leptospirosis, Q fever and rickettsioses.

TreatmentDuration
BrucellosisTetracyclines plus parenteral aminoglycoside or tetracyclines plus rifampin.6 weeks.
If spondylitis and osteomyelitis, 8–12 weeks.
LeptospirosisMild disease: doxycycline or amoxicillin.
Severe disease: penicillin G or ceftriaxone.
7 days.
Q feverAcute Q fever: doxycycline.
Chronic Q fever: doxycycline and hydroxychloroquine.
Acute Q fever: 14 days.
Chronic Q fever: 18–24 months.
RickettsiosisDoxycycline.7 days.