Chronic Q Fever with No Elevation of Inflammatory Markers: A Case Report

We describe the case of a 55-year-old man with a biological prosthetic aortic valve who suffered from epigastrium and right hypochondrium pain associated with intermittent night sweats. Liver biopsy showed infectious hepatitis pattern without pathognomonic features. Coxiella burnetii serology was su...

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Detalles Bibliográficos
Autores principales: Boattini, Matteo, Almeida, André, Moura, Rita Barata, Abreu, João, Santos, Ana Sofia, Toscano Rico, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389709/
https://www.ncbi.nlm.nih.gov/pubmed/22792113
http://dx.doi.org/10.1155/2012/249705
Descripción
Sumario:We describe the case of a 55-year-old man with a biological prosthetic aortic valve who suffered from epigastrium and right hypochondrium pain associated with intermittent night sweats. Liver biopsy showed infectious hepatitis pattern without pathognomonic features. Coxiella burnetii serology was suggestive of chronic Q fever, and modified Duke's criteria for endocarditis were also fulfilled. The authors present a brief literature review concerning chronic Q fever, emphasizing absent previous reports of chronic Q fever with hepatitis and endocarditis and no increase in inflammatory markers.

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