PULMONARY FINDINGS SUGGESTS COXIELLA BURNETII INFECTION TO A PATIENT WITH HEPATITIS

On 23th of July 2019 a 63y old man, was admitted for acute hepatitis with low-grade fever, myalgia, fatigue, jaundice. Farmer (grows crops, and tends to farm animals). He was known to have a non-replicative chronic B hepatitis virus infection. At admission, moderate increase of prothrombin time, but without clinical signs of encephalopathy. No positive IgM serology for hepatitis viruses (A, B, C, E), CMV, Epstein Barr, or Leptospira spp. CRP was 34mg/L, HBV-DNA undetectable.