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Serologic detection of a rare case of Q fever in New York City having hepatic and unusual renal complications

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Abstract

We describe the case of a 46-year-old resident of New York City with a one-year history of frequent urination and 3 weeks of undulating fevers. He also had liver and bone marrow abnormalities where a non-culturable Gram-negative rod was identified. Q fever was suspected and confirmed based on highly elevated phase I and II serum IgM/IgG antibodies against Coxiella burnetii.

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Acknowledgments

The authors thank several members of the Metropolitan Hospital Center staff for their assistance in collecting, handling and processing various patient specimens, and in analyzing some of the data. We also thank Ms. Elizabeth Doran of NYCOM for technological support and assistance.

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Authors and Affiliations

  1. Department of Biomedical Sciences, New York College of Osteopathic Medicine of New York Institute of Technology, NYCOM 1 building, Old Westbury, NY, 11568, USA

    C. S. Pavia

  2. NYCOM Immunodiagnostic Laboratory, New York College of Osteopathic Medicine of New York Institute of Technology, Old Westbury, NY, USA

    C. S. Pavia

  3. Department of Medicine, New York Medical College, Valhalla, NY, USA

    C. S. Pavia & C. McCalla

  4. Department of Medicine, Metropolitan Hospital Center, New York, NY, 10029, USA

    C. McCalla

Authors
  1. C. S. Pavia
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  2. C. McCalla
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Correspondence to C. S. Pavia.

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Pavia, C.S., McCalla, C. Serologic detection of a rare case of Q fever in New York City having hepatic and unusual renal complications. Infection 38, 325–329 (2010). https://doi.org/10.1007/s15010-010-0016-1

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  • DOI: https://doi.org/10.1007/s15010-010-0016-1

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