Q-fever can simulate a lupus flare.

Abstract

Fever is a diagnostic challenge in the patient with lupus. Infections can mimic a lupus flare which further complicates the diagnostic approach. Moreover, immunosuppressive treatment of SLE may promote the development of infections and poor outcome. We report the case of a patient with SLE with an initial diagnosis of lupus flare, who was found to have Q fever showing an excellent response to treatment with doxycycline.

• Authors: José Ángel Hernández Beriain, Sergio Machín García, Francisco Javier Novoa Medina, Daniel Batista Perdomo, Antonio Rosas Romero, Eduardo Girona Quesada
• Journal: Reumatologia clinica (Reumatol Clin) 2012 May-Jun Vol. 8 Issue 3 Pg. 143-4 ISSN: 1885-1398 [Electronic] Spain
• PMID: 22137637 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 Elsevier España, S.L. All rights reserved.

Topics

• Aged, 80 and over
• Diagnosis, Differential
• Female
• Humans
• Lupus Erythematosus, Systemic (complications, diagnosis)
• Q Fever (complications, diagnosis)