Iliopsoas abscess associated with endovascular infection: an acute case of chronic Q fever.

Am J Emerg Med

Department of Internal Medicine, Division of Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands; Department of Internal Medicine, Division of Infectious Diseases, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands; Radboud Expertise Center for Q fever, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address:

Published: June 2015

fever is a zoonosis caused by Coxiella burnetii, which occurs worldwide. After acute Q fever infection, 1% to 5% of patients develop chronic Q fever. Chronic Q fever usually presents as endocarditis or endovascular infection. The diagnosis and localization of chronic Q fever are challenging, as most patients present with nonspecific symptoms. Moreover, it often occurs in patients without a known episode of acute infection.

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http://dx.doi.org/10.1016/j.ajem.2014.12.043DOI Listing

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