title: Granulomatous hepatitis caused by Q fever: a differential diagnosis of fever of unknown origin.
abstract: The differential diagnosis of fever of unknown origin (FUO) includes infectious, neoplastic, rheumaticinflammatory and miscellaneous diseases. We report the case of a 35-year-old man with FUO caused by Q fever. A liver biopsy showed the characteristic fibrin-ring lipogranulomas compatible with Q fever. The serologic tests confirmed the diagnosis of acute infection by Coxiella burnetii. The therapeutic response was excellent. In conclusion, we described a patient with acute Q fever and granulomatous hepatitis.
authors.affiliation: Clínica de Enfermedades Digestivas y Obesidad, Fundación Clínica Médica Sur, Ciudad de México, México.
authors.forename: Nancy
authors.initials: N
authors.lastname: Aguilar-Olivos
authors.forename: María
authors.initials: M
authors.lastname: del Carmen Manzano-Robleda
authors.forename: Ylse
authors.initials: Y
authors.lastname: Gutiérrez-Grobe
authors.forename: Fredy
authors.initials: F
authors.lastname: Chablé-Montero
authors.forename: Jorge
authors.initials: J
authors.lastname: Albores-Saavedra
authors.forename: Eric
authors.initials: E
authors.lastname: López-Méndez
mesh_terms: D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000209:etiology*; D006099:Granuloma / Q000473:pathology; D006525:Hepatitis, Viral, Human / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008297:Male; D011778:Q Fever / Q000150:complications* / Q000473:pathology