Quiescent Q fever endocarditis exacerbated by cardiac surgery and corticosteroid therapy - PubMed (original) (raw)
Case Reports
. 1988 Jul;148(7):1531-2.
Affiliations
- PMID: 3382299
Case Reports
Quiescent Q fever endocarditis exacerbated by cardiac surgery and corticosteroid therapy
B I Lev et al. Arch Intern Med. 1988 Jul.
Abstract
Q fever endocarditis occurs in up to 11% of patients infected by Coxiella burnetti. Major clues for the diagnosis are culture-negative endocarditis, hepatic involvement, rash, and thrombocytopenia. Characteristically, the diagnosis is delayed. In our patient, Q fever endocarditis occurred without previously recorded signs of infection. Fever, rash, and hepatic involvement all occurred following aortic valve replacement. The histologic picture of the excised valve was consistent with endocarditis, and serologic tests disclosed elevated IgA and IgG antiphase 1 antibody titers against C burnetti, compatible with Q fever endocarditis. It is assumed that the exacerbation of quiescent Q fever endocarditis was caused by cardiac surgery and steroid therapy.
Similar articles
- Q fever bioprosthetic aortic valve endocarditis (PVE) successfully treated with doxycycline monotherapy.
Krol V, Kogan V, Cunha BA. Krol V, et al. Heart Lung. 2008 Mar-Apr;37(2):157-60. doi: 10.1016/j.hrtlng.2007.04.002. Heart Lung. 2008. PMID: 18371509 - Chronic Q fever.
Turck WP, Howitt G, Turnberg LA, Fox H, Longson M, Matthews MB, Das Gupta R. Turck WP, et al. Q J Med. 1976 Apr;45(178):193-217. Q J Med. 1976. PMID: 940918 - [Endocarditis caused by Coxiella burnetii in aortic prosthesis. Presentation of a case with a fatal course].
Martínez Sande JL, Casariego Rosón JR, Cimadevilla Suárez R, Moreno Torrico A, Alonso Orcajo N, Rodríguez Llorián A. Martínez Sande JL, et al. Rev Esp Cardiol. 1990 Feb;43(2):127-9. Rev Esp Cardiol. 1990. PMID: 2326533 Spanish. - Latent infective endocarditis: epidemiology and clinical characteristics of patients with unsuspected endocarditis detected after elective valve replacement.
Shapira N, Merin O, Rosenmann E, Dzigivker I, Bitran D, Yinnon AM, Silberman S. Shapira N, et al. Ann Thorac Surg. 2004 Nov;78(5):1623-9. doi: 10.1016/j.athoracsur.2004.05.052. Ann Thorac Surg. 2004. PMID: 15511445 Review. - Q Fever during pregnancy: a cause of poor fetal and maternal outcome.
Carcopino X, Raoult D, Bretelle F, Boubli L, Stein A. Carcopino X, et al. Ann N Y Acad Sci. 2009 May;1166:79-89. doi: 10.1111/j.1749-6632.2009.04519.x. Ann N Y Acad Sci. 2009. PMID: 19538266 Review.
Cited by
- Reactivation of Q fever: case report of osteoarticular infection developing at the site of a soft tissue injury.
McKew GL, Gottlieb T. McKew GL, et al. Access Microbiol. 2021 Dec 10;3(12):000296. doi: 10.1099/acmi.0.000296. eCollection 2021. Access Microbiol. 2021. PMID: 35024556 Free PMC article. - Q fever: a case with a vascular infection complication.
Edouard S, Labussiere AS, Guimard Y, Fournier PE, Raoult D. Edouard S, et al. BMJ Case Rep. 2010 Aug 3;2010:bcr0120102690. doi: 10.1136/bcr.01.2010.2690. BMJ Case Rep. 2010. PMID: 22767654 Free PMC article. - Q fever - a review.
Marrie TJ. Marrie TJ. Can Vet J. 1990 Aug;31(8):555-63. Can Vet J. 1990. PMID: 17423643 Free PMC article. - Q fever endocarditis masquerading as Mixed cryoglobulinemia type II. A case report and review of the literature.
Rafailidis PI, Dourakis SP, Fourlas CA. Rafailidis PI, et al. BMC Infect Dis. 2006 Feb 23;6:32. doi: 10.1186/1471-2334-6-32. BMC Infect Dis. 2006. PMID: 16504099 Free PMC article. Review. - Q fever pneumonia: virulence of Coxiella burnetii pathovars in a murine model of aerosol infection.
Stein A, Louveau C, Lepidi H, Ricci F, Baylac P, Davoust B, Raoult D. Stein A, et al. Infect Immun. 2005 Apr;73(4):2469-77. doi: 10.1128/IAI.73.4.2469-2477.2005. Infect Immun. 2005. PMID: 15784593 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous