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

研究成果: Article同行評審

4 引文 斯高帕斯(Scopus)

摘要

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.

原文English
頁(從 - 到)522-526
頁數5
期刊Kaohsiung Journal of Medical Sciences
21
發行號11
DOIs
出版狀態Published - 2005 11月

All Science Journal Classification (ASJC) codes

  • 一般醫學

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