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Chronic Q fever with mixed cryoglobulinaemia.
  1. H Torley,
  2. H Capell,
  3. M Timbury,
  4. C McCartney
  1. Centre for Rheumatic Diseases, University Department of Medicine, Glasgow Royal Infirmary.


    A 47 year old woman presented with a six month history of vasculitic rash, splenomegaly, and cardiac murmurs. Investigations showed the presence of mixed cryoglobulinaemia and raised titres to Coxiella burnetii consistent with chronic Q fever infection. The patient was treated with tetracycline (1 g four times a day).

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