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Órgano Oficial de la Asociación Mexicana de Hepatología
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2013, Number 1

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Ann Hepatol 2013; 12 (1)

Granulomatous hepatitis caused by Q fever: a differential diagnosis of fever of unknown origin

Aguilar-Olivos N, Manzano-Robleda MC, Gutiérrez-Grobe Y, Chablé-Montero F, Albores-Saavedra J, López-Méndez E
Full text How to cite this article

Language: English
References: 10
Page: 138-141
PDF size: 200.62 Kb.


Key words:

Liver, Granulomatous diseases, Coxiella burnetii, Histopathology.

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.


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Ann Hepatol. 2013;12