Gastroenterology, Hepatology & Digestive Disorders
Open Access
ISSN: 2639-9334
Case Report
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Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report
Authors: Melissa Magrath M.D., Michelle Pearlman M.D., Lan Peng M.D., William Lee M.D.
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 fibrin- ring granulomas on liver biopsy as well as the clinical features and treatment of Q fever.
Citation:
Melissa Magrath M.D., Michelle Pearlman M.D., Lan Peng M.D., et al. Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report. 2018; 1(2).
DOI:
10.33425/2639-9334.1009
Editor-in-Chief
Elisa Gravito Soares MF
Department of Gastroenterology | Coimbra University Hospital
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