Endocarditis after acute Q fever in patients with previously undiagnosed valvulopathies.
We describe 3 cases of endocarditis after acute Q fever in 3 patients with clinically silent, undiagnosed valvulopathies, including mitral valve prolapse, minimal valvular leak, and biscuspid aortic valve. We conclude that, to prevent endocarditis, these minor valvulopathies must be actively searched for with echocardiography after diagnosis of acute Q fever.
Fenollar
Florence
F
Unite des Rickettsies, Universite de la Mediterranee, Marseille, France.
Thuny
Franck
F
Xeridat
Bernard
B
Lepidi
Hubert
H
Raoult
Didier
D
D001021:Aortic Valve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000382:microbiology; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology; D008945:Mitral Valve Prolapse / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology; D011778:Q Fever / Q000150:complications*