title: Electron microscopy and serological features of a patient with Q fever prosthetic valve endocarditis.
abstract: The clinical, serological and electron microscopic findings in a 47 year old woman with bioprosthetic valve coxiella endocarditis occurring 15 years after streptococcal endocarditis are described. The patient underwent valvular surgery a total of four times to control symptoms and remains well on medical therapy more than two years after her last operation.
authors.affiliation: Department of Microbiology, South Manchester Hospitals NHS Trust.
authors.forename: B J
authors.initials: BJ
authors.lastname: Isalska
authors.forename: A
authors.initials: A
authors.lastname: Curry
authors.forename: T N
authors.initials: TN
authors.lastname: Stanbridge
authors.forename: D
authors.initials: D
authors.lastname: Tweddle
authors.forename: E O
authors.initials: EO
authors.lastname: Caul
mesh_terms: D016997:Coxiella burnetii; D004697:Endocarditis, Bacterial / Q000382:microbiology / Q000473:pathology; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000473:pathology*; D011778:Q Fever / Q000150:complications*