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Case Reports in MedicineVolume 2012 2012, Article ID 249705, 5 pages

Case Report

Department of Internal Medicine, St. Marta's Hospital, 1169-024 Lisbon, Portugal

Department of Cardiology, St. Marta's Hospital, 1169-024 Lisbon, Portugal

Centre for Vectors and Infectious Disease Research Doutor Francisco Cambournac, National Institute of Health Dr. Ricardo Jorge, Aguas de Moura, 2965-575 Setubal, Portugal

Received 18 March 2012; Accepted 11 May 2012

Academic Editor: Mohamud Daya

Copyright © 2012 Matteo Boattini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We describe the case of a 55-year-old man with a biological prosthetic aortic valve who suffered from epigastrium and right hypochondrium pain associated with intermittent night sweats. Liver biopsy showed infectious hepatitis pattern without pathognomonic features. Coxiella burnetii serology was suggestive of chronic Q fever, and modified Duke's criteria for endocarditis were also fulfilled. The authors present a brief literature review concerning chronic Q fever, emphasizing absent previous reports of chronic Q fever with hepatitis and endocarditis and no increase in inflammatory markers.

Autor: Matteo Boattini, André Almeida, Rita Barata Moura, João Abreu, Ana Sofia Santos, and Miguel Toscano Rico



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