[A fever of finally known origin]

Praxis (Bern 1994). 2014 May 21;103(11):657-61. doi: 10.1024/1661-8157/a001673.
[Article in German]


We present the case of a 77 year old man with fever of unknown origin. Despite a thorough assessment in hospital the diagnosis could only be made after discharge when positive results for C. burnetii serology revealed acute Q-fever. However, retrospectively history and clinical findings matched well with acute Q-fever.

Wir stellen den Fall eines 77-jährigen Mannes vor, bei dem ein unklares Fieber auftrat, das trotz detaillierten Abklärungen zunächst unklar blieb. Erst die Serologie brachte am Schluss die Diagnose eines Q-Fiebers. Retrospektiv passen die Anamnese und die Befunde gut zu einem akuten Q-Fieber.

Keywords: Q-Fieber; Q-fever; coxiella burnetii; fever of unknown origin; fever of unkown origin coxiella burnetii.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Antibodies, Bacterial / blood
  • Butter / microbiology*
  • Coxiella burnetii / immunology
  • Diagnosis, Differential
  • Diagnostic Tests, Routine
  • Doxycycline / therapeutic use
  • Fever of Unknown Origin / etiology*
  • Food Microbiology*
  • Humans
  • Male
  • Q Fever / diagnosis*
  • Q Fever / drug therapy
  • Q Fever / transmission


  • Antibodies, Bacterial
  • Butter
  • Doxycycline