Source:http://linkedlifedata.com/resource/pubmed/id/10549097
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1999-12-14
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pubmed:abstractText |
Q fever usually presents with high fever, headache and an atypical pneumonia. A case report of a 47-year-old patient with an atypical course of a coxiella infection is described. The dominant clinical symptoms were a liver and bone marrow involvement, whereas pulmonary manifestations were absent. The diagnosis of Q fever in this patient was based on the detection of cytoplasmatic inclusion bodies in macrophages and granulocytes. Furthermore fibrin-ring granulomas ("doughnut lesions") were found in liver tissue specimen and epitheloid-cell granulomas were detected in bone marrow specimen. Complement-fixation antibody titers and PCR resulted unspecific or negative on different occasions during the course of the disease. A confirmation of the diagnosis by complement-fixation antibody test was possible only after recovery from the disease. In Q fever with atypical clinical and serological presentation the screening of blood cells for inclusion bodies and liver or bone marrow tissue for granulomas may be important for establishing the diagnosis.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0044-2771
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1019-23
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:10549097-Animals,
pubmed-meshheading:10549097-Bone Marrow,
pubmed-meshheading:10549097-Bone Marrow Diseases,
pubmed-meshheading:10549097-Complement Fixation Tests,
pubmed-meshheading:10549097-Diagnosis, Differential,
pubmed-meshheading:10549097-Granulocytes,
pubmed-meshheading:10549097-Granuloma,
pubmed-meshheading:10549097-Humans,
pubmed-meshheading:10549097-Inclusion Bodies,
pubmed-meshheading:10549097-Liver,
pubmed-meshheading:10549097-Liver Diseases,
pubmed-meshheading:10549097-Male,
pubmed-meshheading:10549097-Middle Aged,
pubmed-meshheading:10549097-Polymerase Chain Reaction,
pubmed-meshheading:10549097-Q Fever,
pubmed-meshheading:10549097-Sheep,
pubmed-meshheading:10549097-Zoonoses
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pubmed:year |
1999
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pubmed:articleTitle |
[Sheep, chills and "doughnut granuloma"--an atypical course of Coxiella infection].
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pubmed:affiliation |
Klinik für Gastroenterologie, Hepatologie und Infektiologie, Heinrich-Heine-Universität Düsseldorf.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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