676: ATYPICAL PRESENTATION OF Q FEVER PRESENTING AS SEPTIC SHOCK AND RESPIRATORY FAILURE. (January 2018) - Munir, Ahmed; Jhand, Aravdeep; Gupta, Vritti; Krishnan, Mridula; Yadav, Niraj; Klug, Michael; Grant, Leah; Lambrecht, Jason; Horne, John; Thibodeau, Joseph; Vivekanandan, Renuga