[Endocarditis due to Coxiella burnetii (Q fever): a rare or underdiagnosed disease? Case report].
Q fever is a zoonosis of worldwide distribution that is caused by Coxiella burnetii. However, reports of this disease in Brazil are rare. Seroepidemiological studies have shown relatively high frequencies of antibodies against Coxiella burnetii in populations with occupational exposure. In humans, it can be manifested clinically as acute or chronic disease. Endocarditis is the most frequent chronic form of Q fever and the form with the greatest morbidity and mortality. We report a severe case of endocarditis due to Coxiella burnetii acquired in Brazil that had a fatal outcome, despite specific antibiotic therapy and valve surgery treatment.
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo. rinaldo_focaccia@uol.com.br
Rinaldo Focaccia
RF
Siciliano
Henrique Barbosa
HB
Ribeiro
Remo Holanda de Mendonça
RH
Furtado
Jussara Bianchi
JB
Castelli
Roney Orismar
RO
Sampaio
Fabiana Cristina Pereira dos
FC
Santos
Silvia
S
Colombo
Max
M
Grinberg
Tânia Mara Varejão
TM
Strabelli
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D016997:Coxiella burnetii / Q000302:isolation & purification*; D004318:Doxycycline / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011778:Q Fever / Q000175:diagnosis / Q000188:drug therapy; D012720:Severity of Illness Index
D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D004318:Doxycycline
Endocardite por Coxiella burnetii (febre Q): doença rara ou pouco diagnosticada? Relato de caso.