title: Acute Q fever with hemophagocytic syndrome: case report and literature review.
abstract: Hemophagocytic syndrome is a rare complication of acute Q fever. We reported the case of 26-year-old man with fever, chills, severe headache, non-productive cough and progressive thrombocytopenia. Bone marrow aspirate revealed hemophagocytosis. We discussed the differences among the three previous reported cases and the possible mechanisms of hemophagocytic syndrome.
authors.affiliation: Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
authors.forename: Tun-Chieh
authors.initials: TC
authors.lastname: Chen
authors.forename: Ko
authors.initials: K
authors.lastname: Chang
authors.forename: Po-Liang
authors.initials: PL
authors.lastname: Lu
authors.forename: Yi-Chang
authors.initials: YC
authors.lastname: Liu
authors.forename: Yen-Hsu
authors.initials: YH
authors.lastname: Chen
authors.forename: Hsiao-Cheng
authors.initials: HC
authors.lastname: Hsieh
authors.forename: Wen-Chi
authors.initials: WC
authors.lastname: Yang
authors.forename: Wei-Ru
authors.initials: WR
authors.lastname: Lin
authors.forename: Jih-Jin
authors.initials: JJ
authors.lastname: Tsai
authors.forename: Sheng-Fung
authors.initials: SF
authors.lastname: Lin
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001856:Bone Marrow Examination; D016997:Coxiella burnetii / Q000472:pathogenicity*; D004211:Disseminated Intravascular Coagulation / Q000382:microbiology; D006801:Humans; D051359:Lymphohistiocytosis, Hemophagocytic / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D015242:Ofloxacin / Q000627:therapeutic use; D010976:Platelet Count; D011778:Q Fever / Q000150:complications / Q000188:drug therapy / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents; D015242:Ofloxacin