A fatal case of Q fever hepatitis in a child.
A two-year-old boy of Arabic extraction presented with progressive jaundice and prolonged pyrexia. Both IgM and IgG immunofluorescent antibody titers for Q fever were 1:1280. Two goats and one cow of the domestic animals owned by the family also had positive antibody titers against Q fever. In spite of antibiotic treatment with tetracyclines and chloramphenicol, the hepatic involvement progressed gradually. On the twentieth day of admission the child succumbed from hepatic failure. This child presents a rare case of fatal hepatic failure due to Q fever.
D000907:Antibodies, Bacterial / Q000032:analysis*; D002675:Child, Preschool; D003381:Coxiella / Q000276:immunology; D006501:Hepatic Encephalopathy / Q000276:immunology*; D006525:Hepatitis, Viral, Human / Q000276:immunology*; D006801:Humans; D007136:Immunoglobulins / Q000032:analysis; D008297:Male; D011778:Q Fever / Q000276:immunology*
D000907:Antibodies, Bacterial; D007136:Immunoglobulins