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  • Title: Pulmonary inflammatory pseudotumor due to Coxiella burnetii. Case report and literature review.
    Author: Polo MF, Mastrandrea S, Santoru L, Arcadu A, Masala G, Marras V, Bagella G, Sechi MM, Tanda F, Pirina P.
    Journal: Microbes Infect; 2015; 17(11-12):795-8. PubMed ID: 26342254.
    Abstract:
    A 58-year-old man was admitted because of respiratory failure, episodic fever with chilling, cough, malaise, fatigue, myalgia and weight loss lasting for at least one month. Chest x-rays and CT scan of the chest showed bilateral pulmonary consolidations in upper lobes, the left lower lobe, and mediastinal lymphadenopathy. Bronchoscopy with cytology was unremarkable. A needle CT-guided lung biopsy documented an inflammatory pseudotumor, lymphoplasmacytic type. Serology showed high titer antibodies to phase II Coxiella burnetii infection. Therapy with doxycycline and hydroxychloroquine for three months led to a complete resolution of symptoms and radiological findings, and a marked decrease in titers to Q fever.
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