Unusual Aspects of Acute Q Fever-Associated Hepatitis STEVEN H. YALE, M.D., PIET C. DE GROEN, M.D., JULIUS D. TOOSON, M.D., PAUL J. KURTIN, M.D.  Mayo Clinic Proceedings  Volume 69, Issue 8, Pages 769-773 (August 1994) DOI: 10.1016/S0025-6196(12)61097-0 Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Temperature profile of 37-year-old man during hospitalization for acute fevers and hepatitis. Alkaline phosphatase, aspartate aminotransferase, and alanine aminotransferase values are in U/L; bilirubin and calcium values in mg/dL; albumin value in g/dL; and prothrombin time in seconds. Mayo Clinic Proceedings 1994 69, 769-773DOI: (10.1016/S0025-6196(12)61097-0) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 A, Bone marrow biopsy specimen, showing typical “ring” granuloma (arrow). B and C, Liver biopsy specimens, showing one typical ring granuloma (B) (arrow) and one atypical granuloma (C) (arrow). (Hematoxylin-eosin; original magnification, × 125.) Mayo Clinic Proceedings 1994 69, 769-773DOI: (10.1016/S0025-6196(12)61097-0) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions