title: [Endocarditis caused by Coxiella burnetii in aortic prosthesis. Presentation of a case with a fatal course].
abstract: A case of endocarditis caused by Coxiella burnetii in a patient with an aortic Starr-Edwards prosthesis is described. The diagnosis was made by detecting high titres of antibody against Coxiella burnetii phase I antigens. After 15 weeks of chemotherapy with tetracycline and cotrimoxazole, aortic prosthetic valve replacement was carried out because of haemodynamic deterioration and he died 4 days later. The histologic picture of the excised valve was consistent with endocarditis. Coxiella burnetii should be considered in the differential diagnosis of culture-negative endocarditis in our country, especially when the patient has not receiving antibiotic treatment in the last 2 weeks.
authors.affiliation: Servicio de Cardiología, Hospital General de Asturias, Oviedo.
authors.forename: J L
authors.initials: JL
authors.lastname: Martínez Sande
authors.forename: J R
authors.initials: JR
authors.lastname: Casariego Rosón
authors.forename: R
authors.initials: R
authors.lastname: Cimadevilla Suárez
authors.forename: A
authors.initials: A
authors.lastname: Moreno Torrico
authors.forename: N
authors.initials: N
authors.lastname: Alonso Orcajo
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez Llorián
mesh_terms: D000328:Adult; D001021:Aortic Valve; D004697:Endocarditis, Bacterial / Q000209:etiology*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011778:Q Fever / Q000150:complications*
vernacular_title: Endocarditis por Coxiella burnetii sobre prótesis aórtica. Presentación de un caso de evolución fatal.