Case Report of Acute Q Fever with Hepatitis Progressing to Chronic Q Fever with Endocarditis
A 35-year-old male greenhouse worker presented with myalgia, fatigue, and fever. Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient's symptoms persisted, and he reported additional symptoms of mild abdominal pain and...
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| Veröffentlicht in: | Journal of community hospital internal medicine perspectives 2023-03, Vol.13 (2), p.18-23 |
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| container_title | Journal of community hospital internal medicine perspectives |
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| creator | Jama, Abbas B Sheehy, Jessica L Mohamed, Hassan Attallah, Noura Hassan, Esraa Khedr, Anwar Mushtaq, Hisham Mousa, Omar Y Milavetz, James J Sadik, Ali Labban, Mohamad E Jain, Nitesh Surani, Salim Gomez Urena, Eric O Khan, Syed Anjum |
| description | A 35-year-old male greenhouse worker presented with myalgia, fatigue, and fever. Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient's symptoms persisted, and he reported additional symptoms of mild abdominal pain and headaches. Laboratory evaluation was significant for elevated liver enzymes. Due to concern for acute hepatitis and persistent fever the patient was hospitalized. During his hospital course, no infectious etiology was found to explain his symptoms. After discharge from the hospital, additional testing showed positive serology for Q fever IgG phase II antibody (1:8192) and phase II antibody IgM (>1:2048). He was treated with doxycycline and had a good clinical response. Upon follow-up, he had worsening Phase I IgG serologies. Transesophageal echo demonstrated vegetations consistent with endocarditis. |
| doi_str_mv | 10.55729/2000-9666.1155 |
| format | Article |
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Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient's symptoms persisted, and he reported additional symptoms of mild abdominal pain and headaches. Laboratory evaluation was significant for elevated liver enzymes. Due to concern for acute hepatitis and persistent fever the patient was hospitalized. During his hospital course, no infectious etiology was found to explain his symptoms. After discharge from the hospital, additional testing showed positive serology for Q fever IgG phase II antibody (1:8192) and phase II antibody IgM (>1:2048). He was treated with doxycycline and had a good clinical response. Upon follow-up, he had worsening Phase I IgG serologies. 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Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient's symptoms persisted, and he reported additional symptoms of mild abdominal pain and headaches. Laboratory evaluation was significant for elevated liver enzymes. Due to concern for acute hepatitis and persistent fever the patient was hospitalized. During his hospital course, no infectious etiology was found to explain his symptoms. After discharge from the hospital, additional testing showed positive serology for Q fever IgG phase II antibody (1:8192) and phase II antibody IgM (>1:2048). He was treated with doxycycline and had a good clinical response. Upon follow-up, he had worsening Phase I IgG serologies. 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Transesophageal echo demonstrated vegetations consistent with endocarditis.</abstract><cop>United States</cop><pub>Greater Baltimore Medical Center</pub><pmid>37168063</pmid><doi>10.55729/2000-9666.1155</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central |
| subjects | Case Report |
| title | Case Report of Acute Q Fever with Hepatitis Progressing to Chronic Q Fever with Endocarditis |
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