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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Bibliographic Details
Published in:Case Reports in Medicine 2012-01, Vol.2012 (2012), p.1-5-056
Main Authors: Moura, Rita Barata, Boattini, Matteo, Toscano Rico, Miguel, Santos, Ana Sofia, Abreu, João, Almeida, André
Format: Article
Language:English
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Case Report
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Summary: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.
ISSN:1687-9627
1687-9635
DOI:10.1155/2012/249705