Pers YM, Puygrenier M, Borlot F, Simorre B, Barazer I, Oziol E, Reny JL. [Acute Q fever, antiphopholipid antibodies and renal artery thrombosis: case report and literature review].
Rev Med Interne 2008;
30:250-4. [PMID:
19026472 DOI:
10.1016/j.revmed.2008.10.012]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2008] [Revised: 08/29/2008] [Accepted: 10/08/2008] [Indexed: 11/18/2022]
Abstract
INTRODUCTION
Antiphospholipid antibodies (aPL) can be associated with numerous infectious and particularly Q fever. Data on the pathogenicity of aPL in the course of acute Q fever are scarce.
CASE REPORT
We report the case an acute Coxiella burnetii infection associated with clinical and biological manifestations of the aPL syndrome, including a renal infarction. Along with antibiotic treatment, anticoagulation and intravenous immunoglobulins, the clinical outcome was favourable. Antiphospholipid antibodies and Q fever antibody titers had a closely related evolution.
CONCLUSION
Arterial thrombosis associated with Q fever and aPL is exceptional. The nosology and potential mechanisms are discussed.
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