title: [Endocarditis by Coxiella burnetti. A chronic form of Q fever. Report of one case (author's transl)].
abstract: The authors describe a case of chronic endocarditis by Q fever, in a patient who had been operated for coarctation of the aorta twelve years previously and at the same time was carrier of a congenital bivalve aorta. The clinical picture was suggestive of subacute endocarditis, but the blood culture was negative repeatedly. There was also a prolonged and relapsing febrile syndrome over a period of one-year-and-a-half. The following data are also worthy of note: the coexistence of a liver disorder and a focal and segmentary glomerulonephritis. Based on some recent publications (one by the same group) the authors feel that Coxiellosis burnetti must be more frequent in their environment than is suspected.
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003381:Coxiella / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D004697:Endocarditis, Bacterial / Q000382:microbiology* / Q000473:pathology; D005921:Glomerulonephritis / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007678:Kidney Glomerulus / Q000382:microbiology* / Q000473:pathology; D008297:Male; D011778:Q Fever / Q000382:microbiology* / Q000473:pathology
vernacular_title: Endocarditis por Coxiella burnetti. Forma crónica de la fiebre Q. A propósito de un caso.