Document 0488
 DOCN  M9480488
 TI    Unusual aspects of acute Q fever-associated hepatitis.
 DT    9410
 AU    Yale SH; de Groen PC; Tooson JD; Kurtin PJ; Department of Internal
       Medicine, Mayo Clinic Rochester, Minnesota; 55905.
 SO    Mayo Clin Proc. 1994 Aug;69(8):769-73. Unique Identifier : AIDSLINE
       MED/94309328
 AB    We describe a 37-year-old farmer with a 3-week history of fevers and
       hepatitis, in whom Q fever was diagnosed. The diagnosis was based on the
       findings of characteristic ring granulomas on a bone marrow biopsy
       specimen and confirmed by complement-fixation antibody tests to Coxiella
       burnetii. Unusual aspects of this case included (1) relatively low
       complement-fixation antibody titers, (2) prolonged prothrombin time, (3)
       false-positive results of a serologic test for the human
       immunodeficiency virus (HIV), and (4) ring granulomas that progressed to
       atypical granulomas in biopsy specimens.
 DE    Adult  Case Report  Hepatitis/*MICROBIOLOGY  Human  Male  Q
       Fever/*COMPLICATIONS  JOURNAL ARTICLE  REVIEW  REVIEW OF REPORTED CASES

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