Case Reports in Medicine (Jan 2012)

Chronic Q Fever with No Elevation of Inflammatory Markers: A Case Report

  • Matteo Boattini,
  • André Almeida,
  • Rita Barata Moura,
  • João Abreu,
  • Ana Sofia Santos,
  • Miguel Toscano Rico

DOI
https://doi.org/10.1155/2012/249705
Journal volume & issue
Vol. 2012

Abstract

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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.