Debrunner M, Steiner A, Greminger P
Departement für Innere Medizin, Medizinische Poliklinik, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1991 May 28;80(22):620-3.
A 38-year-old man was admitted to the hospital with complaints of persistent fever up to 40 degrees C, arthralgias, headache and a nonproductive cough. The white-cell count was within the normal range but was markedly shifted to the left and demonstrated toxic granulations. Sonographic examination of the abdomen revealed a slight enlargement of the spleen. A nonspecific reactive hepatitis which was clinically asymptomatic was detected by laboratory evaluation. Diagnosis of an acute Q fever was made by demonstration of antibodies against C. burnetii. Following therapy with doxycycline, the patient became afebrile within 48 hours.
一名38岁男性因持续发热至40摄氏度、关节痛、头痛和干咳入院。白细胞计数在正常范围内，但明显左移并出现中毒性颗粒。腹部超声检查显示脾脏轻度肿大。实验室检查发现临床上无症状的非特异性反应性肝炎。通过检测抗伯氏考克斯体抗体确诊为急性Q热。使用强力霉素治疗后，患者在48小时内退热。
