This article ascertains the knowledge of, and attitudes towards, Q fever and behaviours in the management of Q fever among GPs across rural and urban areas.

A man aged 41 years was brought to hospital with fever, sweats, headache, myalgia, arthralgia and increasing confusion of six days’ duration.

Q fever is the most commonly notified zoonotic disease in Australia, with the majority of cases reported from northern New South Wales and southern Queensland.

Primary prevention is the prompt antibiotic treatment of Strep A infection, and it can reduce the risk of developing acute rheumatic fever and rheumatic heart disease.

Clinic managers are encouraged to review their follow-up and electronic reminder systems, as these are associated with benefits for clients who require secondary prophylaxis for acute rheumatic fever.

This issue focuses on rheumatology and includes articles on acute rheumatic fever, rheumatoid arthritis and the role of exercise in management of rheumatological disease.

Successful implementation of evidence-based medicine requires framing within the cultural and structural barriers Aboriginal and Torres Strait Islander people experience.

Skin lesions may provide a clue to diagnosis in a patient with persistent fever and history of recent travel.