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    J Infect. 1998 Jul;37(1):83-4.

    Jarisch-Herxheimer reaction complicating the treatment of chronic Q fever endocarditis: elevated TNFalpha and IL-6 serum levels.

    Kaplanski G, Granel B, Vaz T, Durand JM.

    Service de Médicine Interne, INSERM U387, Hôpital Sainte-Marguerite, Marseille, France.

    Jarisch-Herxheimer reaction (J-HR) is an acute febrile reaction which may complicate the initiation of an effective treatment against infections due to intracellular micro-organisms. We report a case of J-HR complicating treatment of chronic Q fever endocarditis with demonstration of elevated serum cytokine concentrations.

    PMID: 9733392 [PubMed - indexed for MEDLINE]

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