title: [Febrile state, headache and arthralgia].
abstract: A 38-year-old man was admitted to the hospital with complaints of persistent fever up to 40 degrees C, arthralgias, headache and a nonproductive cough. The white-cell count was within the normal range but was markedly shifted to the left and demonstrated toxic granulations. Sonographic examination of the abdomen revealed a slight enlargement of the spleen. A nonspecific reactive hepatitis which was clinically asymptomatic was detected by laboratory evaluation. Diagnosis of an acute Q fever was made by demonstration of antibodies against C. burnetii. Following therapy with doxycycline, the patient became afebrile within 48 hours.
authors.affiliation: Departement für Innere Medizin, Medizinische Poliklinik, Universitätsspital Zürich.
authors.forename: M
authors.initials: M
authors.lastname: Debrunner
authors.forename: A
authors.initials: A
authors.lastname: Steiner
authors.forename: P
authors.initials: P
authors.lastname: Greminger
mesh_terms: D000328:Adult; D000907:Antibodies, Bacterial / Q000302:isolation & purification; D003381:Coxiella / Q000276:immunology; D004318:Doxycycline / Q000627:therapeutic use; D005334:Fever / Q000209:etiology*; D006261:Headache / Q000209:etiology*; D006801:Humans; D007592:Joint Diseases / Q000209:etiology; D008297:Male; D011778:Q Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000907:Antibodies, Bacterial; D004318:Doxycycline
vernacular_title: Status febrilis, Kopf- und Gliederschmerzen.