Abstract
We describe the case of a 69-year-old male with a year-long history of renal failure. Investigation revealed proliferative glomerulonephritis, cryoglobulinemia, and Q fever endocarditis. Renal tissue examination for the presence of Coxiella burnetii was positive. The patient was treated by doxycycline and chloroquine; his clinical status, renal failure, and chronic Q fever have dramatically improved.
MeSH terms
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Aged
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Anti-Bacterial Agents / therapeutic use
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Chloroquine / therapeutic use
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Chronic Disease
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Coxiella burnetii / drug effects
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Coxiella burnetii / isolation & purification
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Cryoglobulinemia / drug therapy
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Cryoglobulinemia / etiology
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Cryoglobulinemia / pathology
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Doxycycline / therapeutic use
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / etiology*
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Endocarditis, Bacterial / pathology
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Glomerulonephritis, Membranoproliferative / drug therapy
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Glomerulonephritis, Membranoproliferative / microbiology*
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Glomerulonephritis, Membranoproliferative / pathology
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Humans
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Kidney / microbiology
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Kidney / pathology
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Male
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Q Fever / drug therapy
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Q Fever / etiology*
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Q Fever / pathology
Substances
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Anti-Bacterial Agents
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Chloroquine
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Doxycycline