title: A case of acute q Fever with severe acute cholestatic hepatitis.
abstract: Minimal hepatic dysfunction can be common in acute Q fever, but severe acute cholestatic hepatitis is rarely reported. We report on a 55-year-old male with acute Q fever and severe acute cholestatic hepatitis. He complained of fever, jaundice, ascites, and restlessness on admission. A liver biopsy revealed the presence of compact fibrin-ring granulomas. Serologic titers for C. burnetii IgM and IgG were 2048:1 and 1024:1, respectively. C. burnetii DNA was detected by a nested polymerase chain reaction on the liver tissue.
authors.affiliation: Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Hyun Cheul
authors.initials: HC
authors.lastname: Choi
authors.forename: Sang Hyub
authors.initials: SH
authors.lastname: Lee
authors.forename: Junghee
authors.initials: J
authors.lastname: Kim
authors.forename: Sung Han
authors.initials: SH
authors.lastname: Kim
authors.forename: Jin-Hyeok
authors.initials: JH
authors.lastname: Hwang
authors.forename: Jin-Wook
authors.initials: JW
authors.lastname: Kim
authors.forename: Sook-Hyang
authors.initials: SH
authors.lastname: Jeong
authors.forename: Haeryoung
authors.initials: H
authors.lastname: Kim