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KMID : 0614620110570030189
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Korean Journal of Gastroenterology
2011 Volume.57 No. 3 p.189 ~ p.193
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Q Fever as a Cause of Acute Hepatitis Accompanying Fever
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Lee Hyun-Jung
Kim Ji-Hoon
Yoon Eileen L.
Lee Young-Sun
Yeon Jong-Eun
Byun Kwan-Soo
Kim Baek-Hui
Ryu Young-Joon
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Abstract
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Q fever is a zoonotic infection caused by Coxiella burnetti, which has been previously regarded as an uncommon infectious disease in Korea but is sporadically reported recently. Common manifestations of acute Q fever usually present as influenza-like illness, pneumonia and occasionally hepatitis. Herein, we report 4 cases of acute Q fever as a cause of acute hepatitis and fever. All patients had fever and non-specific symptoms, and laboratory test showed acute hepatitis. Antibody surveys for many virus infections and bacterial cultures were negative. Finally, they were diagnosed acute Q fever by an indirect microimmunofluorescence test. Liver biopsy in 3 patients revealed granuloma including one with typical fibrin-ring. All patients had complete resolution of symptoms and signs with doxycycline treatment. Q fever should be considered in the differential diagnosis of patients with fever of unknown origin with acute hepatitis in Korea.
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KEYWORD
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Q fever, Coxiella burnetti, Hepatitis, Granuloma
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