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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Terapevticheskii arkhiv</journal-id><journal-title-group><journal-title xml:lang="en">Terapevticheskii arkhiv</journal-title><trans-title-group xml:lang="ru"><trans-title>Терапевтический архив</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0040-3660</issn><issn publication-format="electronic">2309-5342</issn><publisher><publisher-name xml:lang="en">LLC Obyedinennaya Redaktsiya</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">31868</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Editorial article</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Передовая статья</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Description of a case of severe Q fever</article-title><trans-title-group xml:lang="ru"><trans-title>Описание случая тяжелого течения Q-лихорадки</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Malov</surname><given-names>V A</given-names></name><name xml:lang="ru"><surname>Малов</surname><given-names>В А</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ponomarev</surname><given-names>S V</given-names></name><name xml:lang="ru"><surname>Пономарев</surname><given-names>С В</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Тarasevich</surname><given-names>I V</given-names></name><name xml:lang="ru"><surname>Тарасевич</surname><given-names>И В</given-names></name></name-alternatives><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kubensky</surname><given-names>E N</given-names></name><name xml:lang="ru"><surname>Кубенский</surname><given-names>Е Н</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gorobchenko</surname><given-names>A N</given-names></name><name xml:lang="ru"><surname>Горобченко</surname><given-names>А Н</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Pantyukhina</surname><given-names>A N</given-names></name><name xml:lang="ru"><surname>Пантюхина</surname><given-names>А Н</given-names></name></name-alternatives><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nemilostiva</surname><given-names>E A</given-names></name><name xml:lang="ru"><surname>Немилостива</surname><given-names>Е А</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Bogdanova</surname><given-names>M V</given-names></name><name xml:lang="ru"><surname>Богданова</surname><given-names>М В</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Makhmutov</surname><given-names>Ya I</given-names></name><name xml:lang="ru"><surname>Махмутов</surname><given-names>Я И</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">«Первый МГМУ им. И.М. Сеченова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">ГВКГ им. акад. Н.Н. Бурденко Министерства обороны Российской Федерации</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">ФНИЦЭМ им. Н.Ф. Гамалеи Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2015-11-15" publication-format="electronic"><day>15</day><month>11</month><year>2015</year></pub-date><volume>87</volume><issue>11</issue><issue-title xml:lang="en">VOL 87, NO11 (2015)</issue-title><issue-title xml:lang="ru">ТОМ 87, №11 (2015)</issue-title><fpage>84</fpage><lpage>91</lpage><history><date date-type="received" iso-8601-date="2020-04-10"><day>10</day><month>04</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2015, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2015, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ter-arkhiv.ru/0040-3660/article/view/31868">https://ter-arkhiv.ru/0040-3660/article/view/31868</self-uri><abstract xml:lang="en"><p>The paper considers a rare clinical case of severe Q fever in a young man with no compromised premorbid background. It describes and analyzes clinical manifestations and laboratory findings with consideration for the current data available in the literature. The issues of the differential diagnosis, laboratory diagnosis, and treatment of Q fever are discussed.</p></abstract><trans-abstract xml:lang="ru"><p>В статье рассматривается редкий клинический случай тяжелого течения Q-лихорадки у молодого человека без отягощенного преморбидного фона. Даются описание и анализ клинических проявлений и результатов лабораторных исследований с учетом современных данных литературы. Обсуждаются вопросы дифференциальной диагностики, лабораторной диагностики и лечения Q-лихорадки.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Q fever</kwd><kwd>coxiellosis</kwd><kwd>Coxiella burnetii–caused disease</kwd><kwd>community-acquired pneumonias</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>Q-лихорадка</kwd><kwd>коксиеллез</kwd><kwd>заболевание</kwd><kwd>вызванное Coxiella burnetii</kwd><kwd>внебольничные пневмонии</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Derrick E.H. «Q» fever, a new fever entity: clinical features, diagnosis and laboratory investigation. Med J Australia. 1937;2:281-299.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>McDade JE. Historical aspects of Q fever. In: Marrie TJ (ed). Q fever. Volume I. The Disease. 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