{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:03:48Z","timestamp":1761743028746,"version":"build-2065373602"},"reference-count":3,"publisher":"Pensoft Publishers","issue":"5","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>Q fever is a systemic zoonotic infection with a wide range of clinical presentations leading to a laborious diagnosis. We present a case of a 28-year-old man who was diagnosed with acute Q fever with typical hepatic and bone marrow involvement, characterized by acute hemolytic anemia, which is not commonly associated with this disease. This underscores the importance of including Q fever in the differential diagnosis when facing unexplained systemic or hematologic abnormalities.<\/jats:p>","DOI":"10.3897\/folmed.67.e144634","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:39:11Z","timestamp":1761723551000},"source":"Crossref","is-referenced-by-count":0,"title":["Bone marrow involvement in Q fever \u2013 atypical case of hemolytic anemia"],"prefix":"10.3897","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8667-7808","authenticated-orcid":true,"given":"Marina Raquel Gomes","family":"Coelho","sequence":"first","affiliation":[{"name":"Local Health Unit of Oeste, Torres Vedras, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8919-923X","authenticated-orcid":true,"given":"Luzia","family":"Bismarck","sequence":"additional","affiliation":[{"name":"Local Health Unit of Oeste, Torres Vedras, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9461-274X","authenticated-orcid":true,"given":"Manuel","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Local Health Unit of Oeste, Torres Vedras, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"de Mora F\u00e9ria","sequence":"additional","affiliation":[{"name":"Local Health Unit of S\u00e3o Jos\u00e9, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Vila\u00e7a","sequence":"additional","affiliation":[{"name":"Local Health Unit of Amadora\/Sintra, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"144634_B1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00045-16"},{"key":"144634_B2","doi-asserted-by":"publisher","DOI":"10.1186\/1476-0711-11-14"},{"key":"144634_B3","doi-asserted-by":"publisher","DOI":"10.7759\/cureus"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/144634\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/144634\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=144634&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:39:11Z","timestamp":1761723551000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/144634\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,30]]},"references-count":3,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,10,30]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.67.e144634","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10,30]]},"article-number":"e144634"}}