[Q fever: a rare cause of endocarditis]. / Fièvre Q: une cause rare d'endocardite A propos d'un cas.
Arch Mal Coeur Vaiss
; 98(10): 1036-9, 2005 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-16294553
Coxiella Burnetii endocarditis is very rare. It is the main complication of the chronic form of Q fever. Blood cultures are negative and clinical presentation very variable and diagnosis is essentially based on indirect immunofluorescence serum analysis. The authors report the case of a 19 year old patient with a history of rheumatic aortic regurgitation admitted for an episode of left ventricular failure in a context of long-term pyrexia without valvular vegetations or mutilation. The antiphase I Ig G antibody levels were significant. Treatment with doxycycline and fluoroquinolone was initiated. The clinical improvement was spectacular. Three months later, the patient underwent aortic valve replacement and histological examination of the valve showed subacute endocarditis on chronically fibrotic valvular disease. This is an interesting case by its rarity and its diagnostic and therapeutic problems.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fiebre Q
/
Endocarditis Bacteriana
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
Fr
Revista:
Arch Mal Coeur Vaiss
Año:
2005
Tipo del documento:
Article
País de afiliación:
Marruecos
Pais de publicación:
Francia