title: Coxiella burneti endocarditis in a patient with positive chlamydial serology.
abstract: A 41-year-old man who habitually slept in a car park presented with a culture-negative endocarditis. Serological tests indicated infection with both Coxiella burneti and Chlamydia psittaci. He was treated with doxycycline and clindamycin and required aortic valve replacement. Culture of the excised value for both agents was negative but electron microscopy was suggestive of coxiella endocarditis.
authors.affiliation: Department of Microbiology, University College, London, UK.
authors.forename: A P
authors.initials: AP
authors.lastname: Wilson
authors.forename: C E
authors.initials: CE
authors.lastname: Handler
authors.forename: G L
authors.initials: GL
authors.lastname: Ridgway
authors.forename: J
authors.initials: J
authors.lastname: Treharne
authors.forename: J M
authors.initials: JM
authors.lastname: Walker
authors.forename: D C
authors.initials: DC
authors.lastname: Mangham
mesh_terms: D000328:Adult; D000907:Antibodies, Bacterial / Q000302:isolation & purification; D002690:Chlamydia Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D002691:Chlamydophila psittaci / Q000276:immunology; D003168:Complement Fixation Tests; D016997:Coxiella burnetii / Q000276:immunology; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D007075:Immunoglobulin M / Q000276:immunology; D008297:Male; D011778:Q Fever / Q000150:complications* / Q000175:diagnosis
chemical_list: D000907:Antibodies, Bacterial; D007074:Immunoglobulin G; D007075:Immunoglobulin M