RESUMO

The differential diagnosis of fever of unknown origin (FUO) includes infectious, neoplastic, rheumaticinflammatory and miscellaneous diseases. We report the case of a 35-year-old man with FUO caused by Q fever. A liver biopsy showed the characteristic fibrin-ring lipogranulomas compatible with Q fever. The serologic tests confirmed the diagnosis of acute infection by Coxiella burnetii. The therapeutic response was excellent. In conclusion, we described a patient with acute Q fever and granulomatous hepatitis.

Assuntos

Febre de Causa Desconhecida/etiologia , Febre Q/complicações , Adulto , Biópsia , Diagnóstico Diferencial , Granuloma/patologia , Hepatite Viral Humana/patologia , Humanos , Fígado/patologia , Masculino , Febre Q/patologia