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Acute acalculous cholecystitis associated with Q fever: report of seven cases and review of the literature.
Eur J Clin Microbiol Infect Dis. 2003 Apr; 22(4):222-7.EJ

Abstract

Q fever is a worldwide-occurring zoonosis caused by Coxiella burnetii. There are various clinical manifestations of acute Q fever, of which acute cholecystitis is a very rare clinical presentation. This study reports seven cases of acute cholecystitis associated with Coxiella burnetii and reviews two other cases from the literature. All patients were admitted to hospital for fever and abdominal pain in the right upper quadrant. Abdominal echography showed a distended gallbladder with biliary sludge without concrements in eight cases and with a single stone in one case. Diagnosis was made by specific serological investigation (microimmunofluorescence assay) for Coxiella burnetii. All nine patients were cured, six after laparoscopic cholecystectomy and three with antibiotics only. Histological examination of the gallbladders showed inflammation in five cases, although Coxiella burnetii was not detected by immunohistochemistry. The results show that laboratory investigations in patients admitted to hospital for symptoms consistent with acute acalculous cholecystitis should include a systematic search for Coxiella burnetii.

Authors+Show Affiliations

Unité des Rickettsies CNRS UMR-A 6020, IFR 48, Faculté de Médecine, Université de la Méditerranée, 27 Boulevard Jean Moulin, 13385, Marseille Cedex 05, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

12687414

Citation

Rolain, J M., et al. "Acute Acalculous Cholecystitis Associated With Q Fever: Report of Seven Cases and Review of the Literature." European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology, vol. 22, no. 4, 2003, pp. 222-7.
Rolain JM, Lepidi H, Harlé JR, et al. Acute acalculous cholecystitis associated with Q fever: report of seven cases and review of the literature. Eur J Clin Microbiol Infect Dis. 2003;22(4):222-7.
Rolain, J. M., Lepidi, H., Harlé, J. R., Allegre, T., Dorval, E. D., Khayat, Z., & Raoult, D. (2003). Acute acalculous cholecystitis associated with Q fever: report of seven cases and review of the literature. European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology, 22(4), 222-7.
Rolain JM, et al. Acute Acalculous Cholecystitis Associated With Q Fever: Report of Seven Cases and Review of the Literature. Eur J Clin Microbiol Infect Dis. 2003;22(4):222-7. PubMed PMID: 12687414.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute acalculous cholecystitis associated with Q fever: report of seven cases and review of the literature. AU - Rolain,J M, AU - Lepidi,H, AU - Harlé,J R, AU - Allegre,T, AU - Dorval,E D, AU - Khayat,Z, AU - Raoult,D, Y1 - 2003/03/28/ PY - 2003/4/11/pubmed PY - 2003/7/26/medline PY - 2003/4/11/entrez SP - 222 EP - 7 JF - European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology JO - Eur J Clin Microbiol Infect Dis VL - 22 IS - 4 N2 - Q fever is a worldwide-occurring zoonosis caused by Coxiella burnetii. There are various clinical manifestations of acute Q fever, of which acute cholecystitis is a very rare clinical presentation. This study reports seven cases of acute cholecystitis associated with Coxiella burnetii and reviews two other cases from the literature. All patients were admitted to hospital for fever and abdominal pain in the right upper quadrant. Abdominal echography showed a distended gallbladder with biliary sludge without concrements in eight cases and with a single stone in one case. Diagnosis was made by specific serological investigation (microimmunofluorescence assay) for Coxiella burnetii. All nine patients were cured, six after laparoscopic cholecystectomy and three with antibiotics only. Histological examination of the gallbladders showed inflammation in five cases, although Coxiella burnetii was not detected by immunohistochemistry. The results show that laboratory investigations in patients admitted to hospital for symptoms consistent with acute acalculous cholecystitis should include a systematic search for Coxiella burnetii. SN - 0934-9723 UR - https://www.unboundmedicine.com/medline/citation/12687414/Acute_acalculous_cholecystitis_associated_with_Q_fever:_report_of_seven_cases_and_review_of_the_literature_ L2 - https://dx.doi.org/10.1007/s10096-003-0899-1 DB - PRIME DP - Unbound Medicine ER -