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NBME 23 Answers

nbme23/Block 4/Question#9

A 35-year-old man who is a veterinarian in a rural ...

Coxiella burnetii

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submitted by lfsuarez(65),

This vet is suffering from Q fever, which commonly presents with fever, elecated liver enzymes, throbocytopenia and lung infiltrates. The gram stain and culture appear to be negative because coxiella is an intracellular bacteria. He is at high risk for this infection from the inhalation of the bacteria during farm animal delivery.