Acute Q fever with hemophagocytic syndrome: case report and literature review.
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.
Chen
Tun-Chieh
TC
Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Chang
Ko
K
Lu
Po-Liang
PL
Liu
Yi-Chang
YC
Chen
Yen-Hsu
YH
Hsieh
Hsiao-Cheng
HC
Yang
Wen-Chi
WC
Lin
Wei-Ru
WR
Tsai
Jih-Jin
JJ
Lin
Sheng-Fung
SF
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*
D000900:Anti-Bacterial Agents; D015242:Ofloxacin