Difficulties in the diagnosis and management of a US servicemember presenting with possible chronic Q fever.
A 34 year old corpsman developed acute Q fever upon return from Iraq. Subsequent testing demonstrated trace mitral regurgitation and widely discrepant serologic testing results between commercial and reference laboratories. We discuss the dilemma of isolated minor echocardiographic abnormalities and propose caution in the interpretation of Q fever serologic tests.
Ake
Julie A
JA
Infectious Disease Service, Walter Reed Army Medical Center, Washington, DC 20307, USA. julie.ake@amedd.army.mil
Massung
Robert F
RF
Whitman
Timothy J
TJ
Gleeson
Todd D
TD
D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood; D004452:Echocardiography; D006801:Humans; D007493:Iraq; D008297:Male; D008889:Military Personnel; D008944:Mitral Valve Insufficiency / Q000175:diagnosis; D011778:Q Fever / Q000175:diagnosis* / Q000628:therapy*; D012698:Serologic Tests; D014481:United States
D000907:Antibodies, Bacterial