{"title":"Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report","authors":"M. Magrath, M. Pearlman, Lan Peng, William Lee","doi":"10.33425/2639-9334.1009","DOIUrl":null,"url":null,"abstract":"A 41-year-old man presented with persistent fevers and elevated liver enzymes. Percutaneous liver biopsy revealed fibrin ring granulomas and serologic testing confirmed acute Q fever. Interestingly, his fevers did not resolve with doxycycline alone, and he only clinically improved after hydroxychloroquine was initiated. We discuss the differential diagnosis of fibrinring granulomas on liver biopsy as well as the clinical features and treatment of Q fever. Case Report Citation: Melissa Magrath, Michelle Pearlman, Lan Peng, et al. Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report. Gastroint Hepatol Dig Dis. 2018; 1(2): 1-2.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gastroenterology, Hepatology & Digestive Disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33425/2639-9334.1009","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A 41-year-old man presented with persistent fevers and elevated liver enzymes. Percutaneous liver biopsy revealed fibrin ring granulomas and serologic testing confirmed acute Q fever. Interestingly, his fevers did not resolve with doxycycline alone, and he only clinically improved after hydroxychloroquine was initiated. We discuss the differential diagnosis of fibrinring granulomas on liver biopsy as well as the clinical features and treatment of Q fever. Case Report Citation: Melissa Magrath, Michelle Pearlman, Lan Peng, et al. Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report. Gastroint Hepatol Dig Dis. 2018; 1(2): 1-2.
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