Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever
The clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiel...
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| Format: | Article |
| Language: | English |
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Wiley
2005-11-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09701615 |
| _version_ | 1828795087048409088 |
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| author | Ko Chang Wen-Chien Ko Bi-Fang Li Ping-Yen Liu Nan-Tsing Chiu |
| author_facet | Ko Chang Wen-Chien Ko Bi-Fang Li Ping-Yen Liu Nan-Tsing Chiu |
| author_sort | Ko Chang |
| collection | DOAJ |
| description | The clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiella burnetii. The patient responded poorly to doxycycline and improved with oral levofloxacin. During the afebrile period, gallium inflammatory scan showed resolution of previous diffuse uptake in the abdomen, and cardiac echo resolution of pericardial effusion, which was suggestive of peritoneal inflammation related to acute C. burnetii infection. Therefore, clinicians in Taiwan should be alert to the possibility of acute Q fever in patients with fever of unknown cause, especially with clinical evidence of peritoneal and/or pericardial inflammation. |
| first_indexed | 2024-12-12T03:57:34Z |
| format | Article |
| id | doaj.art-b27f1326d53546e1ab3ecf247eb7a2bb |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-12T03:57:34Z |
| publishDate | 2005-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-b27f1326d53546e1ab3ecf247eb7a2bb2022-12-22T00:39:12ZengWileyKaohsiung Journal of Medical Sciences1607-551X2005-11-01211152252610.1016/S1607-551X(09)70161-5Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q FeverKo Chang0Wen-Chien Ko1Bi-Fang Li2Ping-Yen Liu3Nan-Tsing Chiu4Department of Internal Medicine, Kaohsiung Medical University and Kaohsiung Medical University Hsaio-Kang Hospital, Kaohsiung, TaiwanDepartment of Internal Medicine, University Hospital, Tainan, TaiwanDepartment of Nuclear Medicine, National Cheng Kung, University Hospital, Tainan, TaiwanDepartment of Internal Medicine, University Hospital, Tainan, TaiwanDepartment of Nuclear Medicine, National Cheng Kung, University Hospital, Tainan, TaiwanThe clinical features in patients with acute Q fever are variable. We present a patient with fever, abdominal distension, pericardial effusion, and diffuse gallium uptake in the abdominal cavity, mimicking peritonitis or peritoneum carcinomatosis. Serologic surveys revealed acute infection by Coxiella burnetii. The patient responded poorly to doxycycline and improved with oral levofloxacin. During the afebrile period, gallium inflammatory scan showed resolution of previous diffuse uptake in the abdomen, and cardiac echo resolution of pericardial effusion, which was suggestive of peritoneal inflammation related to acute C. burnetii infection. Therefore, clinicians in Taiwan should be alert to the possibility of acute Q fever in patients with fever of unknown cause, especially with clinical evidence of peritoneal and/or pericardial inflammation.http://www.sciencedirect.com/science/article/pii/S1607551X09701615Coxiella burnetiigallium scanpericarditisperitonitisQ fever |
| spellingShingle | Ko Chang Wen-Chien Ko Bi-Fang Li Ping-Yen Liu Nan-Tsing Chiu Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever Kaohsiung Journal of Medical Sciences Coxiella burnetii gallium scan pericarditis peritonitis Q fever |
| title | Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever |
| title_full | Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever |
| title_fullStr | Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever |
| title_full_unstemmed | Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever |
| title_short | Diffuse Abdominal Uptake Mimicking Peritonitis in Gallium Inflammatory Scan: An Unusual Feature of Acute Q Fever |
| title_sort | diffuse abdominal uptake mimicking peritonitis in gallium inflammatory scan an unusual feature of acute q fever |
| topic | Coxiella burnetii gallium scan pericarditis peritonitis Q fever |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09701615 |
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