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Volume 23, Issue 3

Case Report

A Rare Case of Acute Q Fever Presenting with Deep Jaundice and a Review of the Literature

Taner Yıldırmak
Affiliations
  • Okmeydanı Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İstanbul, Türkiye
,
Funda Şimşek
Affiliations
  • Okmeydanı Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İstanbul, Türkiye
,
Bekir Çelebi
Affiliations
  • Refi k Saydam Hıfzıssıhha Merkezi Başkanlığı, Salgın Hastalıklar Araştırma Müdürlüğü, Ankara, Türkiye
,
Erdinç Çavuş
Affiliations
  • Okmeydanı Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İstanbul, Türkiye
,
Arzu Kantürk
Affiliations
  • Okmeydanı Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İstanbul, Türkiye
,
Nur Efe-İris
Affiliations
  • Okmeydanı Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Şişli-İstanbul
  • ceftriaxone
  • hepatitis
  • jaundice
  • Q fever

Abstract

A 33-year-old male patient working as a butcher in a market was admitted to our clinic because of persisting fever and chills of 8-day duration, jaundice, disseminated myalgias and headache. Laboratory tests revealed a slight elavation of transaminases, marked hyperbilirubinemia of 17.5 mg/dl, and mild thrombocytopenia. His chest radiography was normal. Acute Q fever was diagnosed serologically by complement fixation, indirect immunofluorescence and trans-polymerase chain reaction from bone marrow. He was treated with ceftriaxone alone. Our patient was compared with other four similar acute cholestatic Q fever patients in the literature. One hundred  and eleven cases of acute Q fever published to date from our country were reviewed.

  • 124-129
  • 10.5152/kd.2010.33
  • July 23, 2019
  • 2184
  • 764
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  • This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. CC BY-NC
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