Infections might be severe or relentless, the latter being primarily asymptomatic, except while pregnant when the microorganisms may contaminate the placenta, causing abortion, stillbirth, and preterm birth. The majority of the stillbirths took place in the second as well as very early third trimester. The overall contributions of Q high temperature to stillbirths, as well as the real geographical circulation of Q fever-associated stillbirths, is unidentified.

whipple's triad of hypoglycemia