{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:20:22Z","timestamp":1791364822715,"version":"4.3.1"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Q fever is a zoonosis caused by<jats:italic>Coxiella burnetii<\/jats:italic>. It often manifests as a flu-like syndrome; other common manifestations are pneumonia, hepatitis and endocarditis. Its course may be acute or chronic. The authors present two clinical cases of Q fever with rare manifestations. Case 1: A 55-year-old man admitted due to abdominal pain, diarrhoea and fever. Blood tests showed elevated transaminases, low platelets and elevated C reactive protein, with normal white cell counts; abdominal ultrasound showed splenic and hepatic abscesses. Serologies to<jats:italic>C burnetii<\/jats:italic>were positive (1:640), leading to the diagnosis of Q fever with splenic and hepatic abscesses. Case 2: A 47-year-old man admitted due to headache after sneezing, with unstable gait and vertigo. A brain tomography showed cerebral venous thrombosis. After an exhaustive investigation, antibodies to<jats:italic>C burnetii<\/jats:italic>were found and were undoubtedly positive (1:5120), leading to the diagnosis of Q fever. Both patients were treated with oral doxycycline.<\/jats:p>","DOI":"10.1136\/bcr-2013-202843","type":"journal-article","created":{"date-parts":[[2014,2,5]],"date-time":"2014-02-05T11:59:04Z","timestamp":1391601544000},"page":"bcr2013202843","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Two rare manifestations of Q fever: splenic and hepatic abscesses and cerebral venous thrombosis, with literature review<i>ma non troppo<\/i>"],"prefix":"10.1136","volume":"2014","author":[{"given":"Manuel Mendes","family":"Gomes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreia","family":"Chaves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Gouveia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e8lita","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,2,5]]},"reference":[{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.1","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1128\/CMR.12.4.518","article-title":"Q fever","volume":"12","author":"Maurin","year":"1999","journal-title":"Clin Microbiol Rev"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0248-8663(98)80711-X"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(54)90449-3"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.4","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.7.1193"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.5","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/S0733-8619(18)30235-4","article-title":"Cerebral venous thrombosis","volume":"10","author":"Ameri","year":"1992","journal-title":"Neurol Clin"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.6","doi-asserted-by":"publisher","DOI":"10.3109\/00365549009027098"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.7","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.50.4.352"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.8","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199701000-00005"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2009.04.003"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.10","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.163.5.7976880"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2004.04150.x"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.12","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1111\/j.1468-1331.2007.01914.x","article-title":"Sneeze as a precipitating factor for cerebral venous thrombosis","volume":"14","author":"Fonseca","year":"2007","journal-title":"Eur J Neurol"},{"key":"2025042702332325000_2014.feb05_1.bcr2013202843.13","unstructured":"Saraiva da Cunha Rosa S Vitor P . 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