Unusual manifestations of acute Q fever: autoimmune hemolytic anemia and tubulointerstitial nephritis


KORKMAZ S. , ELALDI N. , KAYATAŞ M. , ŞENCAN M. , YILDIZ E.

ANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALS, cilt.11, 2012 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 11
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1186/1476-0711-11-14
  • Dergi Adı: ANNALS OF CLINICAL MICROBIOLOGY AND ANTIMICROBIALS

Özet

Q fever is a worldwide zoonotic infection that caused by Coxiella burnetii, a strict intracellular bacterium. It may be manifested by some of the autoimmune events and is classified into acute and chronic forms. The most frequent clinical manifestation of acute form is a self-limited febrile illness which is associated with severe headache, muscle ache, arthralgia and cough. Meningoencephalitis, thyroiditis, pericarditis, myocarditis, mesenteric lymphadenopathy, hemolytic anemia, and nephritis are rare manifestations. Here we present a case of acute Q fever together with Coombs' positive autoimmune hemolytic anemia (AIHA) and tubulointerstitial nephritis treated with chlarithromycin, steroids and hemodialysis. Clinicians should be aware of such rare manifestations of the disease.