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

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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
DOIs
Publication statusPublished - 2005 Nov

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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