Case Reports
5 October 2015
Vol. 10 No. 1 (2016)
https://doi.org/10.4081/itjm.2015.556

From autoimmune hepatitis to Q fever

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Fever of unknown origin, granulomatous hepatitis, Q fever.
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Authors

Davide Tizzani
davidet2001@yahoo.it
Department of Medical Sciences, University of Torino, Città della Salute e della Scienza di Torino Hospital, Torino, Italy.
Silvia Totaro
Department of Medical Sciences, University of Torino, Città della Salute e della Scienza di Torino Hospital, Torino, Italy.
Valentina Laura Crudo
Department of Medical Sciences, University of Torino, Città della Salute e della Scienza di Torino Hospital, Torino, Italy.
Andrea Viola
Department of Medical Sciences, University of Torino, Città della Salute e della Scienza di Torino Hospital, Torino, Italy.
Vittorio Gallo
Department of Medical Sciences, University of Torino, Città della Salute e della Scienza di Torino Hospital, Torino, Italy.
Franco Veglio
Department of Medical Sciences, University of Torino, Città della Salute e della Scienza di Torino Hospital, Torino, Italy.
Q fever is an infectious disease caused by Coxiella burnetii. Its clinical presentation is often nonspecific and the serological diagnosis difficult to make, especially in the absence of specific and suspected medical history. This article presents a case of fever of unknown origin (FUO), interpreted as an autoimmune hepatitis, later proven by the liver biopsy to be a granulomatous hepatitis caused by C. burnetii. The approach to FUO, the features of granulomatous hepatitis and Q fever are presented and discussed.

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From autoimmune hepatitis to Q fever. (2015). Italian Journal of Medicine, 10(1), 58-61. https://doi.org/10.4081/itjm.2015.556

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