Hepatitis colestática grave por fiebre Q: presentación de un caso
| Autor: | Marion Hemmersbach, Pedro Betancor León, Ricardo Reyes Pérez, Fernando Artiles Campelo, José Rivero Vera, Saturnino Suárez Ortega |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Doxycycline
medicine.medical_specialty Hepatology biology medicine.diagnostic_test business.industry Gastroenterology Q fever Complement fixation test Coxiella burnetii biology.organism_classification medicine.disease Serology Cholestasis Infectious disease (medical specialty) Internal medicine Immunology Biopsy medicine business medicine.drug |
| Zdroj: | Gastroenterología y Hepatología. 33:21-24 |
| ISSN: | 0210-5705 |
| Popis: | Severe cholestatic hepatitis due to Coxiella burnetii is a rare form of clinical presentation of acute Q fever that is only occasionally detected in association with this infectious disease. We report a case of severe cholestatic hepatitis due to acute Q fever, with clinical signs of hepatic insufficiency, marked cholestasis, and renal insufficiency. The results of the initial serologic study using a complement fixation test were negative on two occasions, and transjugular biopsy and serological analysis with indirect immunofluorescence were required to establish the diagnosis. Despite treatment with doxycycline and ciprofloxacin, the cholestasis progressively worsened, with the development of hepatic and renal insufficiency, which rapidly disappeared after corticosteroid treatment. |
| Databáze: | OpenAIRE |
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