Chronic q Fever with no elevation of inflammatory markers: a case report.
We describe the case of a 55-year-old man with a biological prosthetic aortic valve who suffered from epigastrium and right hypochondrium pain associated with intermittent night sweats. Liver biopsy showed infectious hepatitis pattern without pathognomonic features. Coxiella burnetii serology was suggestive of chronic Q fever, and modified Duke's criteria for endocarditis were also fulfilled. The authors present a brief literature review concerning chronic Q fever, emphasizing absent previous reports of chronic Q fever with hepatitis and endocarditis and no increase in inflammatory markers.
Department of Internal Medicine, St. Marta's Hospital, 1169-024 Lisbon, Portugal.
Matteo
M
Boattini
André
A
Almeida
Rita Barata
RB
Moura
João
J
Abreu
Ana Sofia
AS
Santos
Miguel
M
Toscano Rico