| This indicates that the immunological response to C. burnetii infection in our patient might have been stronger, this requiring a higher dosage and a longer course of steroids to defervesce. |
| However, our patient did not defervesce until administration of intravenous methylprednisolone despite administration of a 6-day course of oral prednisolone. |
| The patient failed to defervesce despite aggressive antibiotic therapy. |
