{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T10:13:47Z","timestamp":1788603227480,"version":"build-2803163510"},"reference-count":0,"publisher":"Greater Baltimore Medical Center","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"abstract":"<jats:p>A 35-year-old male greenhouse worker presented with myalgia, fatigue, and fever. Initially, he was thought to have an unspecified viral infection and was treated with conservative therapy. However, the patient\u2019s symptoms persisted, and he reported additional symptoms of mild abdominal pain and headaches. Laboratory evaluation was significant for elevated liver enzymes. Due to concern for acute hepatitis and persistent fever the patient was hospitalized. During his hospital course, no infectious etiology was found to explain his symptoms. After discharge from the hospital, additional testing showed positive serology for Q fever IgG phase II antibody (1:8192) and phase II antibody IgM (&gt; 1:2048). He was treated with doxycycline and had a good clinical response. Upon follow-up, he had worsening Phase I IgG serologies. Transesophageal echo demonstrated vegetations consistent with endocarditis.<\/jats:p>","DOI":"10.55729\/2000-9666.1155","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T04:59:43Z","timestamp":1678510783000},"source":"Crossref","is-referenced-by-count":1,"title":["Case report of Acute Q fever with Hepatitis progressing to Chronic Q fever with Endocarditis"],"prefix":"10.55729","volume":"13","author":[{"given":"Abbas B.","family":"Jama","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L.","family":"Sheehy","sequence":"additional","affiliation":[{"name":"Department Infectious Disease, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noura","family":"Attallah","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esraa","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anwar","family":"Khedr","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, BronxCare Health System, Bronx, NY 10457, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham","family":"Mushtaq","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St Vincent's Medical Center, Bridgeport, CT 06606, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Y.","family":"Mousa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J.","family":"Milavetz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Sadik","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad El","family":"Labban","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitesh","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salim","family":"Surani","sequence":"additional","affiliation":[{"name":"Adj. Clinical Professor, Texas A&M University, College Station, TX 77843, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric O. Gomez","family":"Urena","sequence":"additional","affiliation":[{"name":"Department Infectious Disease, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Anjum","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Mayo Clinic Health System, Mankato, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"34701","published-online":{"date-parts":[[2023,3,10]]},"container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/scholarlycommons.gbmc.org\/cgi\/viewcontent.cgi?article=1155&amp;context=jchimp","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T10:02:38Z","timestamp":1788602558000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.gbmc.org\/jchimp\/vol13\/iss2\/3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,10]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,3,10]]}},"URL":"https:\/\/doi.org\/10.55729\/2000-9666.1155","relation":{},"ISSN":["2000-9666"],"issn-type":[{"value":"2000-9666","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,10]]}}}