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July 1987

Erythema Nodosum and Q Fever

Author Affiliations

Infectious Diseases Unit Hospital Clinic Villarroel 170 08036 Barcelona, Spain

Arch Dermatol. 1987;123(7):867. doi:10.1001/archderm.1987.01660310031008

To the Editor.—  Erythema nodosum (EN) is a well-recognized but poorly understood reaction of the skin to a diverse range of conditions. The most important of these are infections such as streptococcal infections, tuberculosis, Yersinia, and Salmonella enteritidis. Recently, EN has been found in patients with toxoplasmosis,1Campylobacter jejuni enteritis,2 and Shigella flexneri colitis.3 We describe a case of EN caused by Q fever, an association not previously described.

Report of a Case.—  A previously healthy 20-year-old woman was admitted to our hospital because of fever and nonproductive cough of two weeks' duration. She was in the 20th week of her first pregnancy. Until two months previous to admission, she had been living in the country. On examination, only small (0.5 to 1 cm) tender lymph nodes were found in both laterocervical areas. The erythrocyte sedimentation rate was 125 mm/h, and all biochemical and hematologic values were

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