title: [Severe cholestatic hepatitis due to Q fever: report of a case].
abstract: Severe cholestatic hepatitis due to Coxiella burnetii is a rare form of clinical presentation of acute Q fever that is only occasionally detected in association with this infectious disease. We report a case of severe cholestatic hepatitis due to acute Q fever, with clinical signs of hepatic insufficiency, marked cholestasis, and renal insufficiency. The results of the initial serologic study using a complement fixation test were negative on two occasions, and transjugular biopsy and serological analysis with indirect immunofluorescence were required to establish the diagnosis. Despite treatment with doxycycline and ciprofloxacin, the cholestasis progressively worsened, with the development of hepatic and renal insufficiency, which rapidly disappeared after corticosteroid treatment.
authors.affiliation: Medicina Interna, Hospital General de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, España. drsuarez@hotmail.com
authors.forename: Saturnino
authors.initials: S
authors.lastname: Suárez Ortega
authors.forename: José
authors.initials: J
authors.lastname: Rivero Vera
authors.forename: Marion
authors.initials: M
authors.lastname: Hemmersbach
authors.forename: Fernando
authors.initials: F
authors.lastname: Artiles Campelo
authors.forename: Ricardo
authors.initials: R
authors.lastname: Reyes Pérez
authors.forename: Pedro
authors.initials: P
authors.lastname: Betancor León
mesh_terms: D002780:Cholestasis, Intrahepatic / Q000175:diagnosis / Q000382:microbiology*; D006505:Hepatitis / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011778:Q Fever / Q000175:diagnosis; D012720:Severity of Illness Index