European Journal of Case Reports in Internal Medicine


The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM). The journal wants to promote the practice of internal medicine in Europe. Its aim is to provide a forum to internal medicine doctors.
EJCRIM welcomes papers describing unusual or complex cases and case series that an internist may encounter in everyday practice. Case series are also welcomed as long as they demonstrate the appropiateness of a therapeutical approach or unusual manifestation of a disease.
The journal would also consider brief reasoned reports of issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to scientific meetings of European societies of Internal Medicine.

EJCRIM is peer-reviewed with single-blind review and freely accessible to all.

Saad A Khan, John Ramzy, Danae A Papachristos, Nayana George, Leon Fisher
João Pereira, Gisela Eugénio, Suzana Calretas, Rui Santos, Armando Carvalho
Keneilwe Malomo, Ontefetse Ntlholang
Anna Silda, Viktorija Kuzema, Ilze Puide, Harijs Cernevskis, Aivars Petersons
Andrew Okpe, Kerri Ramsay, Isuru P Fernando, Emily Mudenha, Devaka J Fernando
Iftach Sagy, Leah Shalev, Itai Levi, Elena Shleyfer, Svetlana Valdman, Leonid Barski
Ruth Patricia Cusack, Jane McCarthy, Terence Markham O'Connor
Pietro Lucotti, Cesare Zoia, Elisabetta Lovati, Paolo Gaetani, Gino Roberto Corazza

A Acute Q Fever Presenting with Multi-Organ Failure: Re-Evaluation of the Initial Diagnosis

Noel Lorenzo Villalba, Maria Belen Alonso Ortiz, Laura Ros Sanjuan, Jerónimo Artiles Vizcaíno, Saturnino Suárez Ortega
Published: 25/05/2016


We present the case of a 48-year-old man admitted to the critical care unit with atrial fibrillation, and acute heart and kidney failure accompanied by coagulopathy and an abnormal liver test. Initially diagnosed as a non-ST elevation myocardial infarction, re-evaluation of the case led to the consideration of severe sepsis. Q fever and leptospirosis were the most probable causes and empiric treatment was initiated. A complete recovery was achieved following treatment.