Granulomatous hepatitis caused by Q fever:

a differential diagnosis of fever of unknown origin 

Autores: Aguilar Olivos Nancy Edith, Manzano Robleda María del Carmen, Gutierrez Grobe Ylse, Chablé Montero Fredy, Albores Saavedra Jorge, López Méndez Eric

Resumen

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.

Palabras clave: Liver granulomatous diseases coxiella burnetii histopathology.

2013-07-09   |   368 visitas   |   Evalua este artículo 0 valoraciones

Vol. 12 Núm.1. Enero-Febrero 2013 Pags. 138-141 Ann Hepatol 2013; 12(1)