Q fever has extremely polymorphic features, and has been reported to be associated with positivity of several autoimmune antibodies. We report two cases of atypical Q fever with a clinical presentation highly suggestive of an inflammatory systemic disease with positivity of autoimmune antibodies, mimicking systemic lupus erythematosus.
OhguchiHHirabayashiYKoderaTIshiiTMunakataYSasakiT. Q fever with clinical features resembling systemic lupus erythematosus. Intern Med2006; 45: 323–326.
4.
PetriMOrbaiA-MAlarcónGSet al.Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus. Arthritis Rheum2012; 64: 2677–2686.
5.
SalvadoriMRossoG. Reclassification of membranoproliferative glomerulonephritis: Identification of a new GN: C3GN. World J Nephrol2016; 5: 308–320.
6.
BernitEPougetJJanbonFet al.Neurological involvement in acute Q fever: A report of 29 cases and review of the literature. Arch Intern Med2002; 162: 693–700.
7.
MillionMRaoultD. Recent advances in the study of Q fever epidemiology, diagnosis and management. J Infect2015; 71(Suppl 1): S2–S9.
8.
MillionMThunyFBardinNet al.Antiphospholipid antibody syndrome with valvular vegetations in acute Q fever. Clin Infect Dis2016; 62: 537–544.