Granulomatous hepatitis caused by Q fever: a differential diagnosis of fever of unknown origin
Journal Title: Annals of Hepatology - Year 2013, Vol 12, Issue 1
Abstract
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.
Authors and Affiliations
Nancy Aguilar-Olivos, María del Carmen Manzano-Robleda, Ylse Gutiérrez-Grobe, Fredy Chablé-Montero, Jorge Albores-Saavedra,, Eric López-Méndez
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