Abstract
A 47 year old woman presented with a six month history of vasculitic rash, splenomegaly, and cardiac murmurs. Investigations showed the presence of mixed cryoglobulinaemia and raised titres to Coxiella burnetii consistent with chronic Q fever infection. The patient was treated with tetracycline (1 g four times a day).
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Selected References
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- Brouet J. C., Clauvel J. P., Danon F., Klein M., Seligmann M. Biologic and clinical significance of cryoglobulins. A report of 86 cases. Am J Med. 1974 Nov;57(5):775–788. doi: 10.1016/0002-9343(74)90852-3. [DOI] [PubMed] [Google Scholar]
- Ellis M. E., Smith C. C., Moffat M. A. Chronic or fatal Q-fever infection: a review of 16 patients seen in North-East Scotland (1967-80). Q J Med. 1983 Winter;52(205):54–66. [PubMed] [Google Scholar]
- Fergusson R. J., Shaw T. R., Kitchin A. H., Matthews M. B., Inglis J. M., Peutherer J. F. Subclinical chronic Q fever. Q J Med. 1985 Oct;57(222):669–676. [PubMed] [Google Scholar]
- Geddes A. M. Q fever. Br Med J (Clin Res Ed) 1983 Oct 1;287(6397):927–928. doi: 10.1136/bmj.287.6397.927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gorevic P. D., Kassab H. J., Levo Y., Kohn R., Meltzer M., Prose P., Franklin E. C. Mixed cryoglobulinemia: clinical aspects and long-term follow-up of 40 patients. Am J Med. 1980 Aug;69(2):287–308. doi: 10.1016/0002-9343(80)90390-3. [DOI] [PubMed] [Google Scholar]
- Palmer S. R., Young S. E. Q-fever endocarditis in England and Wales, 1975-81. Lancet. 1982 Dec 25;2(8313):1448–1449. doi: 10.1016/s0140-6736(82)91341-1. [DOI] [PubMed] [Google Scholar]
- Turck W. P., Howitt G., Turnberg L. A., Fox H., Longson M., Matthews M. B., Das Gupta R. Chronic Q fever. Q J Med. 1976 Apr;45(178):193–217. [PubMed] [Google Scholar]