title: Proliferative glomerulonephritis revealing chronic Q fever.
abstract: We describe the case of a 69-year-old male with a year-long history of renal failure. Investigation revealed proliferative glomerulonephritis, cryoglobulinemia, and Q fever endocarditis. Renal tissue examination for the presence of Coxiella burnetii was positive. The patient was treated by doxycycline and chloroquine; his clinical status, renal failure, and chronic Q fever have dramatically improved.
authors.affiliation: Service de Nephrologie et Hemodialyse, Hopital Sainte-Marguerite, Marseille, France.
authors.forename: H
authors.initials: H
authors.lastname: Vacher-Coponat
authors.forename: B
authors.initials: B
authors.lastname: Dussol
authors.forename: D
authors.initials: D
authors.lastname: Raoult
authors.forename: P
authors.initials: P
authors.lastname: Casanova
authors.forename: Y
authors.initials: Y
authors.lastname: Berland
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002738:Chloroquine / Q000627:therapeutic use; D002908:Chronic Disease; D016997:Coxiella burnetii / Q000187:drug effects / Q000302:isolation & purification; D003449:Cryoglobulinemia / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D004318:Doxycycline / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D015432:Glomerulonephritis, Membranoproliferative / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000382:microbiology / Q000473:pathology; D008297:Male; D011778:Q Fever / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D002738:Chloroquine; D004318:Doxycycline