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Fever of unknown origin due to Coxiella burnetii, an unexpected guest in primary sclerosing cholangitis

  • Lucia Cerrito
    Affiliations
    Dpt. Medical and Surgical Sciences. Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica Del Sacro Cuore, Roma, Italy
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  • Luisa Guidi
    Affiliations
    Dpt. Medical and Surgical Sciences. Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica Del Sacro Cuore, Roma, Italy
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  • Fabio M. Vecchio
    Affiliations
    Dpt. Medical and Surgical Sciences. Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica Del Sacro Cuore, Roma, Italy
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  • Luca Miele
    Correspondence
    Corresponding author at: Dpt. Scienze Mediche e Chirurgiche (DiSMeC), Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 8, Largo Gemelli, Roma, Italy.
    Affiliations
    Dpt. Medical and Surgical Sciences. Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica Del Sacro Cuore, Roma, Italy
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Published:November 09, 2022DOI:https://doi.org/10.1016/j.dld.2022.10.017
      A 64-year-old man with primary sclerosing cholangitis (PSC) was admitted for remitted fever and mild elevation (x1.5UNL) of transaminases and of alkaline phosphatase (x1.2UNL), with neither jaundice nor pruritus. He had history of hypertension and was active smoker (Fig 1A). A fleeting cutaneous eruption appeared at his legs and disappeared spontaneously in a few hours. No abdominal pain was recorded.

      Abbreviations:

      PSC (primary sclerosing cholangitis), MRCP (Magnetic resonance cholangiopancreatography)
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