References C. burnetii has not been demonstrated in muscle biopsy speci-1. Raoult D, Marrie T. Q fever. Clin Infect Dis 1995;20:489-96. mens from patients with acute Q fever [2, 4, 5]. 2. Prieta R, Montejo M, Barreiro G, Aguirre C. Miositis y rabdomiolisis por Our report shows that acute infection with C. burnetii may fiebre Q [letter]. Enferm Infecc Microbiol Clin 1989;7:452. precipitate skeletal muscle damage. Since rhabdomyolysis induced 3. Gago E, Saavedra J, Gómez Huertas E, Solano A,

more »

... B nez Gutiérrez A, by acute Q fever can be associated with a more symptomatic or Alvarez Grande J. Fiebre Q, rabdomiolisis y fracaso renal agudo. severe course of the disease [2-4], determination of the serum NefrologıB a 1989;9:437-40. creatine kinase level seems to be warranted for patients whose 4. MartıB J, MartıB nez A, Antón E, GarcıB a C. Miositis necrotizante por Coxiella clinical signs and symptoms are suggestive of acute C. burnetii burnetii. Enferm Infecc Microbiol Clin 1990;8:467-8. 5. López A, Velilla J, GarcıB a A, Ucles P, Omeñaca M. Rabdomiolisis y fiebre infection. physicians have used ultrasonography alone [2], computed tomog-Avenue, Room 5-409, Washington, D.C. 20037. raphy [3, 4], or both [5-7] in conjunction with fine-needle aspira-Clinical Infectious Diseases 1997;25:1244-5 tion. Aspiration and culture of our patient's peritoneal fluid con-᭧ 1997 by The University of Chicago. All rights reserved.