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  • Title: Rare case of otomastoiditis due to Coxiella burnetii chronic infection.
    Author: Gonçalves M, Moreira S, Gaspar E, Santos L.
    Journal: BMJ Case Rep; 2018 Apr 21; 2018():. PubMed ID: 29680799.
    Abstract:
    Q fever is a zoonotic disease caused by Coxiella burnetii that usually presents with non-specific or benign constitutional symptoms. Diagnosis is often challenging and, after acute Q fever, 1%-5% of patients can develop chronic disease. We present an 80-year-old male patient who was admitted due to a 3 months history of fever, productive cough, myalgia, weight loss, headache and hearing loss. Chronic Q fever was confirmed by positive antiphase I immunoglobulin G. Frequent locations of chronic infection was discarded, and ear CT revealed a right mastoid infection. He was treated with doxycycline and hydroxychloroquine for 18 months with significant improvement. This is a rare case of chronic Q fever presenting with otomastoiditis that has never been described.
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