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A Rare Case of Acute Q Fever Presenting with Deep Jaundice and a Review of the Literature

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Author(s): Taner Yıldırmak | Funda Şimşek | Bekir Çelebi | Erdinç Çavuş | Arzu Kantürk | Nur Efe-İris

Journal: Klimik Journal
ISSN 1301-143X

Volume: 23;
Issue: 03;
Start page: 124;
Date: 2010;
Original page

Keywords: Q fever | jaundice | hepatitis | ceftriaxone.

ABSTRACT
A 33-year-old male patient working as a butcher in a market was admitted to our clinic because of persisting fever and chills of 8-day duration, jaundice, disseminated myalgias and headache. Laboratory tests revealed a slight elavation of transaminases, marked hyperbilirubinemia of 17.5 mg/dl, and mild thrombocytopenia. His chest radiography was normal. Acute Q fever was diagnosed serologically by complement fixation, indirect immunofluorescence and trans-polymerase chain reaction from bone marrow. He was treated with ceftriaxone alone. Our patient was compared with other four similar acute cholestatic Q fever patients in the literature. One hundred and eleven cases of acute Q fever published to date from our country were reviewed.
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