Case Report of Acute Q Fever with Hepatitis Progressing to Chronic Q Fever with Endocarditis.

Autor:	Jama AB; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA., Sheehy JL; Department Infectious Disease, Mayo Clinic Health System, Mankato, USA., Mohamed H; Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA., Attallah N; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA., Hassan E; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA., Khedr A; Department of Internal Medicine, BronxCare Health System, Bronx, NY, 10457, USA., Mushtaq H; Department of Internal Medicine, St Vincent's Medical Center, Bridgeport, CT, 06606, USA., Mousa OY; Department of Gastroenterology, Mayo Clinic Health System, Mankato, USA., Milavetz JJ; Department of Cardiology, Mayo Clinic Health System, Mankato, USA., Sadik A; Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA., Labban ME; Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA., Jain N; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA., Surani S; Texas A&M University, College Station, TX, 77843, USA., Gomez Urena EO; Department Infectious Disease, Mayo Clinic Health System, Mankato, USA., Khan SA; Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA.
Jazyk:	angličtina
Zdroj:	Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2023 Mar 10; Vol. 13 (2), pp. 18-23. Date of Electronic Publication: 2023 Mar 10 (Print Publication: 2023).
DOI:	10.55729/2000-9666.1155
Abstrakt:	A 35-year-old male greenhouse worker presented with myalgia, fatigue, and fever. Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient's symptoms persisted, and he reported additional symptoms of mild abdominal pain and headaches. Laboratory evaluation was significant for elevated liver enzymes. Due to concern for acute hepatitis and persistent fever the patient was hospitalized. During his hospital course, no infectious etiology was found to explain his symptoms. After discharge from the hospital, additional testing showed positive serology for Q fever IgG phase II antibody (1:8192) and phase II antibody IgM (>1:2048). He was treated with doxycycline and had a good clinical response. Upon follow-up, he had worsening Phase I IgG serologies. Transesophageal echo demonstrated vegetations consistent with endocarditis. Competing Interests: Conflict of interest There are no conflicts of interest to report. (© 2023 Greater Baltimore Medical Center.)
Databáze:	MEDLINE
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