Iliopsoas abscess associated with endovascular infection: an acute case of chronic Q fever

Dennis G. Barten; Donné E.J. Gulikers; Marieke G.J. Versteegen; Willie P.W.L. Thimister; Quirijn de Mast; Chantal P. Bleeker-Rovers

doi:10.1016/j.ajem.2014.12.043

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Iliopsoas abscess associated with endovascular infection: an acute case of chronic Q fever☆

Dennis G. Barten, MD

Department of Emergency Medicine, VieCuri Medical Center, PO Box 1926, 5900 BX Venlo, The Netherlands

Donné E.J. Gulikers, MD¹^,

Department of Internal Medicine, VieCuri Medical Center, PO Box 1926, 5900 BX, Venlo, The Netherlands

¹Tel.: +31 77 320 5555.

Marieke G.J. Versteegen, MD²^,

Department of Emergency Medicine, VieCuri Medical Center, PO Box 1926, 5900 BX Venlo, The Netherlands

²Tel.: +31 77 320 5810.

Willie P.W.L. Thimister, MD, PhD¹^,

Department of Nuclear Medicine, VieCuri Medical Center, PO Box 1926, 5900 BX Venlo,The Netherlands

Quirijn de Mast, MD, PhD³^,

Department of Internal Medicine, Division of Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands

Department of Internal Medicine, Division of Infectious Diseases, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands

³Tel.: +31 24 61 11 11.

Chantal P. Bleeker-Rovers, MD, PhD³^,

Department of Internal Medicine, Division of Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands

Department of Internal Medicine, Division of Infectious Diseases, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, The Netherlands

Radboud Expertise Center for Q fever, Radboud University Medical Center, Nijmegen, the Netherlands

DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.043

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Q fever is a zoonosis caused by Coxiella burnetii, which occurs worldwide. After acute Q fever infection, 1% to 5% of patients develop chronic Q fever. Chronic Q fever usually presents as endocarditis or endovascular infection. The diagnosis and localization of chronic Q fever are challenging, as most patients present with nonspecific symptoms. Moreover, it often occurs in patients without a known episode of acute infection.

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☆Conflicts of interests: The authors declare that they have no conflicting interests.

Iliopsoas abscess associated with endovascular infection: an acute case of chronic Q fever☆

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