Chronic Q fever with no elevation of inflammatory markers: a case report

• Author(s): Boattini, M. ; Almeida, A. ; Barata Moura, R. ; Abreu, J. ; Santos, A.S. ; Rico, M.T.
• Date: 2012
• Persistent ID: http://hdl.handle.net/10400.18/1571
• Origin: Repositório Científico do Instituto Nacional de Saúde
• Subject(s): Infecções Sistémicas e Zoonoses; Q fever; Inflammatory Markers; Case Report
• Document Type: Article
• Language: English

Description

Chronic q Fever with no elevation of inflammatory markers: a case report. Boattini M, Almeida A, Moura RB, Abreu J, Santos AS, Toscano Rico M. SourceDepartment of Internal Medicine, St. Marta's Hospital, 1169-024 Lisbon, Portugal. Abstract 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.