[Infectious endocarditis caused by Q fever].
A case of aortic valve endocarditis caused by Coxiella burnetii and operated on with success is reported. The patient is doing well at 18 months follow up. Diagnosis of Q-fever endocarditis was made by high antibodies against phase I Coxiella burnetii antigens titration and by demonstration of aortic valvular vegetations by bidimensional echocardiography. Our patient suffered emergency aortic valve substitution due to acute hemodynamic failure and started a long-term treatment with doxycycline and rifampicin. Some interesting aspects about the diagnosis and treatment of this patient are reviewed because long-term follow-up and serological controls are still rare in the literature.
Jairo Trujillo
J
J
Servicio de Cirugía Cardíaca, Hospital Universitario San Carlos, Universidad Complutense, Madrid.
de la Llana
R
R
O'Connor
F
F
Ali Alswies
M
M
Castañón
J
J
Reguillo
F
F
Gil Aguado
M
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000601:surgery; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011778:Q Fever / Q000150:complications*; D012293:Rifampin / Q000627:therapeutic use; D013997:Time Factors
D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin
Endocarditis infecciosa por fiebre Q.