Artigo Acesso aberto Revisado por pares

Granulomatous hepatitis caused by Q fever: a differential diagnosis of fever of unknown origin

2013; Elsevier BV; Volume: 12; Issue: 1 Linguagem: Inglês

10.1016/s1665-2681(19)31396-1

ISSN

2659-5982

Autores

Nancy Aguilar-Olivos, María del Carmen Manzano-Robleda, Ylse Gutiérrez-Grobe, Fredy Chablé-Montero, Jorge Albores‐Saavedra, Eric López-Méndez,

Tópico(s)

Mosquito-borne diseases and control

Resumo

The differential diagnosis of fever of unknown origin (FUO) includes infectious, neoplastic, rheumaticinflammatory and miscellaneous diseases. We report the case of a 35-year-old man with FUO caused by Q fever. A liver biopsy showed the characteristic fibrin-ring lipogranulomas compatible with Q fever. The serologic tests confirmed the diagnosis of acute infection by Coxiella burnetii. The therapeutic response was excellent. In conclusion, we described a patient with acute Q fever and granulomatous hepatitis.

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