A Case of Acute Q Fever with Severe Acute Cholestatic Hepatitis

被引：7

作者：

Choi, Hyun Cheul ^{[1
]}

Lee, Sang Hyub ^{[1
]}

Kim, Junghee ^{[1
]}

Kim, Sung Han ^{[1
]}

Hwang, Jin-Hyeok ^{[1
]}

Kim, Jin-Wook ^{[1
]}

Jeong, Sook-Hyang ^{[1
]}

Kim, Haeryoung ^{[2
]}

机构：

[1] Seoul Natl Univ, Bundang Hosp, Dept Internal Med, Songnam 463707, South Korea

[2] Seoul Natl Univ, Bundang Hosp, Dept Pathol, Songnam 463707, South Korea

来源：

GUT AND LIVER | 2009年 / 3卷 / 02期

关键词：

Acute Q fever; Fibrin-ring granuloma; Severe cholestatic hepatitis; FIBRIN-RING GRANULOMAS; EPIDEMIOLOGIC FEATURES; INFECTIONS; MACROLIDES;

D O I：

10.5009/gnl.2009.3.2.141

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：

Minimal hepatic dysfunction can be common in acute Q fever, but severe acute cholestatic hepatitis is rarely reported. We report on a 55-year-old male with acute Q fever and severe acute cholestatic hepatitis. He complained of fever, jaundice, ascites, and restlessness on admission. A liver biopsy revealed the presence of compact fibrin-ring granulomas. Serologic titers for C. burnetii IgM and IgG were 2048:1 and 10241, respectively. C. burnetii DNA was detected by a nested polymerase chain reaction on the liver tissue. (Gut and Liver 2009;3:141-144)

引用

页码：141 / 144

页数：4

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