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Acute Q Fever Presenting with Multi-Organ Failure: Re-Evaluation of the Initial Diagnosis
Noel Lorenzo Villalba1, Maria Belen Alonso Ortiz1, Laura Ros Sanjuan1
1Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain.
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.
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Types of Fever
Here are the different types of fever: