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Acute Q Fever Presenting with Multi-Organ Failure: Re-Evaluation of the Initial Diagnosis
- Source :
- European Journal of Case Reports in Internal Medicine, European Journal of Case Reports in Internal Medicine, Vol 3, Iss 4 (2016)
- Publication Year :
- 2016
- Publisher :
- SMC Media, 2016.
-
Abstract
- We present the case of a 48-year-old man admitted to the critical care unit with atrial fibrillation, and acute heart and kidney failure accompanied by coagulopathy and an abnormal liver test. Initially diagnosed as a non-ST elevation myocardial infarction, re-evaluation of the case led to the consideration of severe sepsis. Q fever and leptospirosis were the most probable causes and empiric treatment was initiated. A complete recovery was achieved following treatment. LEARNING POINTS Epidemiological antecedents of interest must always be collected in the clinical record. Acute Q fever infection may be mild or present with multiple organ damage. Empiric treatment with doxycycline must be started when Q fever is suspected.
- Subjects :
- medicine.medical_specialty
lcsh:Medicine
Q fever
030204 cardiovascular system & hematology
law.invention
03 medical and health sciences
0302 clinical medicine
law
Internal medicine
Internal Medicine
medicine
Coagulopathy
030212 general & internal medicine
Myocardial infarction
multiorgan failure
business.industry
lcsh:R
Raw milk
Atrial fibrillation
Articles
medicine.disease
Multi organ
Leptospirosis
Intensive care unit
Surgery
Cardiology
Raw Milk, multiorgan failure, Q fever
business
Empiric treatment
Subjects
Details
- ISSN :
- 22842594
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- European Journal of Case Reports in Internal Medicine
- Accession number :
- edsair.doi.dedup.....1c575daa396fa1075f23411664c4cf84