Chronic Q Fever with No Elevation of Inflammatory Markers: A Case Report. (26th June 2012)

• Record Type: Journal Article
• Authors: Boattini, Matteo; Almeida, André; Moura, Rita Barata; Abreu, João; Santos, Ana Sofia; Toscano Rico, Miguel
• Other Names: Daya Mohamud Academic Editor.
• Is Part Of: Case reports in medicine. Volume 2012(2012)
• Publication Date: 2012-06-26
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Case Reports; Periodicals; 610
• DOI: 10.1155/2012/249705
• Languages: English
• ISSNs: 1687-9627

Abstract

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.