{"title":"肉芽肿性肝炎并不明原因持续发热1例报告","authors":"M. Magrath, M. Pearlman, Lan Peng, William Lee","doi":"10.33425/2639-9334.1009","DOIUrl":null,"url":null,"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 fibrinring granulomas on liver biopsy as well as the clinical features and treatment of Q fever. Case Report Citation: Melissa Magrath, Michelle Pearlman, Lan Peng, et al. Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report. Gastroint Hepatol Dig Dis. 2018; 1(2): 1-2.","PeriodicalId":211573,"journal":{"name":"Gastroenterology, Hepatology & Digestive Disorders","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report\",\"authors\":\"M. Magrath, M. Pearlman, Lan Peng, William Lee\",\"doi\":\"10.33425/2639-9334.1009\",\"DOIUrl\":null,\"url\":null,\"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 fibrinring granulomas on liver biopsy as well as the clinical features and treatment of Q fever. Case Report Citation: Melissa Magrath, Michelle Pearlman, Lan Peng, et al. Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report. Gastroint Hepatol Dig Dis. 2018; 1(2): 1-2.\",\"PeriodicalId\":211573,\"journal\":{\"name\":\"Gastroenterology, Hepatology & Digestive Disorders\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gastroenterology, Hepatology & Digestive Disorders\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33425/2639-9334.1009\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gastroenterology, Hepatology & Digestive Disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33425/2639-9334.1009","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
一名41岁男性表现为持续发热和肝酶升高。经皮肝活检显示纤维蛋白环肉芽肿，血清学检查证实急性Q热。有趣的是，他的发烧并没有单独使用强力霉素解决，他只是在羟氯喹开始后才有临床好转。我们讨论肝活检纤维化肉芽肿的鉴别诊断以及Q热的临床特点和治疗。病例报告引用:Melissa Magrath, Michelle Pearlman, Lan Peng等。肉芽肿性肝炎并不明原因持续发热1例报告。国际肝病杂志2018;1(2): 1 - 2。
Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report
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 fibrinring granulomas on liver biopsy as well as the clinical features and treatment of Q fever. Case Report Citation: Melissa Magrath, Michelle Pearlman, Lan Peng, et al. Granulomatous Hepatitis and Persistent Fever of Unknown Origin: A Case Report. Gastroint Hepatol Dig Dis. 2018; 1(2): 1-2.
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