Diffuse abdominal uptake mimicking peritonitis in gallium inflammatory scan: An unusual feature of acute Q fever

Ko Chang, Wen Chien Ko, Bi Fang Li, Ping Yen Liu, Nan Tsing Chiu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiella burnetii. The patient responded poorly to doxycycline and improved with oral levofloxacin. During the afebrile period, gallium inflammatory scan showed resolution of previous diffuse uptake in the abdomen, and cardiac echo resolution of pericardial effusion, which was suggestive of peritoneal inflammation related to acute C. burnetii infection. Therefore, clinicians in Taiwan should be alert to the possibility of acute Q fever in patients with fever of unknown cause, especially with clinical evidence of peritoneal and/or pericardial inflammation.

Original languageEnglish
Pages (from-to)522-526
Number of pages5
JournalKaohsiung Journal of Medical Sciences
Volume21
Issue number11
Publication statusPublished - 2005 Nov 1

Fingerprint

Q Fever
Gallium
Peritonitis
Pericardial Effusion
Fever
Inflammation
Levofloxacin
Abdominal Cavity
Doxycycline
Peritoneum
Taiwan
Abdomen
Carcinoma

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{ec2a089207a74c45b60c50925e4e9fe4,
title = "Diffuse abdominal uptake mimicking peritonitis in gallium inflammatory scan: An unusual feature of acute Q fever",
abstract = "The clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiella burnetii. The patient responded poorly to doxycycline and improved with oral levofloxacin. During the afebrile period, gallium inflammatory scan showed resolution of previous diffuse uptake in the abdomen, and cardiac echo resolution of pericardial effusion, which was suggestive of peritoneal inflammation related to acute C. burnetii infection. Therefore, clinicians in Taiwan should be alert to the possibility of acute Q fever in patients with fever of unknown cause, especially with clinical evidence of peritoneal and/or pericardial inflammation.",
author = "Ko Chang and Ko, {Wen Chien} and Li, {Bi Fang} and Liu, {Ping Yen} and Chiu, {Nan Tsing}",
year = "2005",
month = "11",
day = "1",
language = "English",
volume = "21",
pages = "522--526",
journal = "Kaohsiung Journal of Medical Sciences",
issn = "1607-551X",
publisher = "Elsevier (Singapore) Pte Ltd",
number = "11",

}

TY - JOUR

T1 - Diffuse abdominal uptake mimicking peritonitis in gallium inflammatory scan

T2 - An unusual feature of acute Q fever

AU - Chang, Ko

AU - Ko, Wen Chien

AU - Li, Bi Fang

AU - Liu, Ping Yen

AU - Chiu, Nan Tsing

PY - 2005/11/1

Y1 - 2005/11/1

N2 - The clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiella burnetii. The patient responded poorly to doxycycline and improved with oral levofloxacin. During the afebrile period, gallium inflammatory scan showed resolution of previous diffuse uptake in the abdomen, and cardiac echo resolution of pericardial effusion, which was suggestive of peritoneal inflammation related to acute C. burnetii infection. Therefore, clinicians in Taiwan should be alert to the possibility of acute Q fever in patients with fever of unknown cause, especially with clinical evidence of peritoneal and/or pericardial inflammation.

AB - The clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiella burnetii. The patient responded poorly to doxycycline and improved with oral levofloxacin. During the afebrile period, gallium inflammatory scan showed resolution of previous diffuse uptake in the abdomen, and cardiac echo resolution of pericardial effusion, which was suggestive of peritoneal inflammation related to acute C. burnetii infection. Therefore, clinicians in Taiwan should be alert to the possibility of acute Q fever in patients with fever of unknown cause, especially with clinical evidence of peritoneal and/or pericardial inflammation.

UR - http://www.scopus.com/inward/record.url?scp=29044437482&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=29044437482&partnerID=8YFLogxK

M3 - Article

C2 - 16358555

AN - SCOPUS:29044437482

VL - 21

SP - 522

EP - 526

JO - Kaohsiung Journal of Medical Sciences

JF - Kaohsiung Journal of Medical Sciences

SN - 1607-551X

IS - 11

ER -