Articles | Volume 8, issue 1
https://doi.org/10.5194/jbji-8-39-2023
https://doi.org/10.5194/jbji-8-39-2023
Case report
 | 
16 Jan 2023
Case report |  | 16 Jan 2023

Chronic Q fever presenting as bilateral extensor tenosynovitis: a case report and review of the literature

Kareme D. Alder, Anthony P. Fiegen, Matthew M. Rode, Don Bambino Geno Tai, Gina A. Suh, Abinash Virk, and Nicholas Pulos

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Cited articles

Dabaja-Younis, H., Meir, M., Ilivizki, A., Militianu, D., Eidelman, M., Kassis, I., and Shachor-Meyouhas, Y.: Q Fever Osteoarticular Infection in Children, Emerg. Infect. Dis., 26, 2039–2045, 2020. 
Dorfman, K., Eran, A., and Ghanem-Zoubi, N.: Q Fever Vertebral Osteomyelitis Complicating Vertebroplasty, Rambam Maimonides Medical Journal, 12, e0007, https://doi.org/10.5041/RMMJ.10430, 2021.  
Francis, J. R., Robson, J., Wong, D., Walsh, M., Astori, I., Gill, D., and Nourse, C.: Chronic recurrent multifocal Q fever osteomyelitis in children, Pediatr. Infect. Dis. J., 35, 972–976, 2016. 
Galy, A., Decousser, J. W., El-Anbassi, S., Nebbad, B., Belzunce, C., Cochennec, F., Deforges, L., and Lepeule, R.: Psoas abscess and chronic Q fever: a contiguous or hematogenous complication? A case report and literature review, Infect. Dis., 48, 626–631, 2016. 
Khatami, A., Sparks, R. T., and Marais, B. J.: A case of pediatric Q fever osteomyelitis managed without antibiotics, Pediatrics, 136, e1629–e1631, 2015. 
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Short summary
We present the first published case of bilateral extensor tenosynovitis caused by Coxiella burnetii. C. burnetii should be considered in patients with inflammatory osteoarticular disease, including tenosynovitis, when conventional cultures are negative especially in elderly, male, or immunocompromised patients with exposure to animals.