[Q fever infectious endocarditis. 3 cases].
An acute infectious disease with predominant pulmonary symptoms, Q fever, may become chronic as hepatitis or, more frequently, endocarditis. We report 3 cases of Q fever endocarditis. In 2 of these patients endocarditis developed on cardiac valve prosthesis. The 3 patients have been under doxycycline for more than a year, and their condition is satisfactory. A review of the literature provides additional data on the epidemiological, aetiological, clinical, biological and therapeutic aspects of this rare type of endocarditis. It is recommended to look for chronic Q fever in all cases of endocarditis with negative blood cultures.
D000328:Adult; D000368:Aged; D000907:Antibodies, Bacterial / Q000032:analysis; D002908:Chronic Disease; D003381:Coxiella / Q000276:immunology; D004698:Endocarditis, Subacute Bacterial / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D011778:Q Fever / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D013754:Tetracyclines / Q000627:therapeutic use
D000907:Antibodies, Bacterial; D013754:Tetracyclines
L'endocardite infectieuse de la fièvre Q. Trois cas.