Article: Migratory thrombophlebitis and acute Q fever.(Letters)(Letter to the Editor)

To the Editor: Q fever is a worldwide zoonosis particularly common in some cattle-raising countries such as Great Britain, France, Spain, Australia, and Canada (1). Widespread use of diagnostic serologic tests has led to increasing recognition of the disease in many other parts of the world. For example, Q fever has been recently described in Southeast Asia (2).

Acute Q fever usually manifests as a febrile syndrome with hepatic abnormalities or pneumonia; chronic Q fever is commonly associated with endocarditis (3,4). When the disease manifests with an atypical clinical picture, diagnosis becomes difficult.

We describe a patient in whom Trousseau's ...

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