Hepatitis colestática grave por fiebre Q: presentación de un caso

Acute Q Fever Presenting with Multi-Organ Failure: Re-Evaluation of the Initial Diagnosis

“…Myocardial infarction also causes a focal scar which was not found on the echocardiogram performed before the patient’s discharge. Myocarditis either completely heals or leads to diffuse damage compatible with congestive cardiomyopathy [1] . In our case, the findings on both echocardiography and chest x-rays disappeared before completion of the cycle of antibiotics (doxycycline).…”

“…A biphasic Q fever has been described that mimics brucellosis in which fever reappears after the first episode has been appropriately treated. In chronic forms, hydroxychloroquine potentiates the intracellular microbiological effect [3] .…”

“…Q fever is a widespread zoonotic infection caused by the pathogen, Coxiella burnetii , that has both acute and chronic manifestations [1] . Patients with Q fever present with a wide spectrum of disease manifestations.…”

“…Patients with Q fever present with a wide spectrum of disease manifestations. In some patients, the clinical signs of Q fever are often mild or absent [2] , while others present with symptoms of acute or chronic infection [1] . Symptomatic infection is more likely to occur in adults [2] .…”