title: Q-fever can simulate a lupus flare.
abstract: Fever is a diagnostic challenge in the patient with lupus. Infections can mimic a lupus flare which further complicates the diagnostic approach. Moreover, immunosuppressive treatment of SLE may promote the development of infections and poor outcome. We report the case of a patient with SLE with an initial diagnosis of lupus flare, who was found to have Q fever showing an excellent response to treatment with doxycycline.
authors.affiliation: Servicio de Reumatología, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España. hernandezberiain@yahoo.es
authors.forename: José Ángel
authors.initials: JÁ
authors.lastname: Hernández Beriain
authors.forename: Sergio
authors.initials: S
authors.lastname: Machín García
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Novoa Medina
authors.forename: Daniel
authors.initials: D
authors.lastname: Batista Perdomo
authors.forename: Antonio
authors.initials: A
authors.lastname: Rosas Romero
authors.forename: Eduardo
authors.initials: E
authors.lastname: Girona Quesada
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D011778:Q Fever / Q000150:complications / Q000175:diagnosis*