Acute Q Fever Presenting as Antiphospholipid Syndrome, Pneumonia, and Acalculous Cholecystitis and Masquerading as Mycoplasma pneumoniae and Hepatitis C Viral Infections

作者：Lee Chen Hsiang; Chuah Seng Kee; Pei Sung Nan; Liu Jien Wei^*

来源：Japanese Journal of Infectious Diseases, 2011, 64(6): 525-527.

DOI：10.7883/yoken.64.525

We report a case of Q fever-related antiphospholipid syndrome in a patient presenting with acalculous cholecystitis and pneumonia. Serial laboratory tests indicated that the previous serological tests suggesting hepatitis C virus and Mycoplasma pneumoniae infections were false-positives. The patient's fever persisted despite treatment with doxycycline, but disappeared 1 day after initiation of steroid treatment. To avoid incorrect diagnosis and subsequent delays in appropriate treatment of Q fever patients, the possibility that Q fever can masquerade as other infections or as an autoimmune disease should be kept in mind.

• 出版日期2011-11
• 单位长春大学