Serologic detection of a rare case of Q fever in New York City having hepatic and unusual renal complications.
We describe the case of a 46-year-old resident of New York City with a one-year history of frequent urination and 3 weeks of undulating fevers. He also had liver and bone marrow abnormalities where a non-culturable Gram-negative rod was identified. Q fever was suspected and confirmed based on highly elevated phase I and II serum IgM/IgG antibodies against Coxiella burnetii.
Pavia
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CS
Department of Biomedical Sciences, New York College of Osteopathic Medicine of New York Institute of Technology, NYCOM 1 building, Old Westbury, NY 11568, USA. cpavia@nyit.edu
McCalla
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C
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D016997:Coxiella burnetii / Q000302:isolation & purification*; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D008107:Liver Diseases / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D009519:New York City; D011778:Q Fever / Q000097:blood* / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D004318:Doxycycline