Case Report of Acute Q Fever with Hepatitis Progressing to Chronic Q Fever with Endocarditis

被引：3

作者：

Jama, Abbas B. ^{[1
,9
]}

Sheehy, Jessica L. ^{[2
]}

Mohamed, Hassan ^{[3
]}

Attallah, Noura ^{[1
]}

Hassan, Esraa ^{[1
]}

Khedr, Anwar ^{[4
]}

Mushtaq, Hisham ^{[5
]}

Mousa, Omar Y. ^{[6
]}

Milavetz, James J. ^{[7
]}

Sadik, Ali ^{[3
]}

Labban, Mohamad E. ^{[3
]}

Jain, Nitesh

Surani, Salim ^{[8
]}

Urena, Eric O. Gomez ^{[2
]}

Khan, Syed Anjum ^{[1
]}

机构：

[1] Mayo Clin Hlth Syst, Dept Crit Care Med, Mankato, MN USA

[2] Mayo Clin Hlth Syst, Dept Infect Dis, Mankato, MN USA

[3] Mayo Clin Hlth Syst, Dept Internal Med, Mankato, MN USA

[4] BronxCare Hlth Syst, Dept Internal Med, Bronx, NY 10457 USA

[5] St Vincents Med Ctr, Dept Internal Med, Bridgeport, CT 06606 USA

[6] Mayo Clin Hlth Syst, Dept Gastroenterol, Mankato, MN USA

[7] Mayo Clin Hlth Syst, Dept Cardiol, Mankato, MN USA

[8] Texas A&M Univ, College Stn, TX 77843 USA

[9] Mayo Clin Hlth Syst, Dept Crit Care Med, 1025 Marsh St, Mankato, MN 56001 USA

来源：

JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES | 2023年 / 13卷 / 02期

关键词：

Q fever; Hepatitis; Acute Q fever; Chronic Q fever; Endocarditis; Case report; COXIELLA-BURNETII; RARE;

D O I：

10.55729/2000-9666.1155

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 35-year-old male greenhouse worker presented with myalgia, fatigue, and fever. Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient's symptoms persisted, and he reported additional symptoms of mild abdominal pain and headaches. Laboratory evaluation was significant for elevated liver enzymes. Due to concern for acute hepatitis and persistent fever the patient was hospitalized. During his hospital course, no infectious etiology was found to explain his symptoms. After discharge from the hospital, additional testing showed positive serology for Q fever IgG phase II antibody (1:8192) and phase II antibody IgM (>1:2048). He was treated with doxycycline and had a good clinical response. Upon follow-up, he had worsening Phase I IgG serologies. Transesophageal echo demonstrated vegetations consistent with endocarditis.

引用

页码：18 / 23

页数：8

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