Disseminated intravascular coagulation as the laboratory hallmark of acute Q fever.
A 37-y-old white male presented with high fever, constitutional symptoms, mild meningeal and pulmonary involvement. Laboratory investigation revealed thrombocytopenia and excessive prolongation of coagulation times (International normalized ratio-INR- up to 6) requiring transfusion with 14 units of fresh frozen plasma. Serology established acute Coxiella burnetti infection. Patient recovered on levofloxacin.
Department of Internal Medicine, Hippokration, General Hospital of Athens, Vasilissis Sofias Ave 114, TK 11527, Athens, Greece. taniathan@hotmail.com
Panagiota
P
Athanassopoulou
George
G
Liatsos
Maria
M
Pirounaki
Michael
M
Skounakis
Antonios
A
Moulakakis
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D011778:Q Fever / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome