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

被引：14

作者：

Aguilar-Olivos, Nancy ^{[1
]}

del Carmen Manzano-Robled, Maria ^{[1
]}

Gutierrez-Grobe, Ylse ^{[1
]}

Chable-Montero, Fredy ^{[2
]}

Albores-Saavedra, Jorge ^{[2
]}

Lopez-Mendez, Eric ^{[3
]}

机构：

[1] Fdn Clin Med Sur, Clin Enfermedades Digestivas & Obesidad, Mexico City, DF, Mexico

[2] Fdn Clin Med Sur, Dept Anat Patol, Mexico City, DF, Mexico

[3] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Gastroenterol, Mexico City 14000, DF, Mexico

来源：

ANNALS OF HEPATOLOGY | 2013年 / 12卷 / 01期

关键词：

Liver; Granulomatous diseases; Coxiella burnetii; Histopathology;

D O I：

10.1016/S1665-2681(19)31396-1

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

100201 [内科学];

摘要：

The differential diagnosis of fever of unknown origin (FUO) includes infectious, neoplastic, rheumatic-inflammatory 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.

引用

页码：138 / 141

页数：4

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