title: Difficulties in the diagnosis and management of a US servicemember presenting with possible chronic Q fever.
abstract: 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.
authors.affiliation: Infectious Disease Service, Walter Reed Army Medical Center, Washington, DC 20307, USA. julie.ake@amedd.army.mil
authors.forename: Julie A
authors.initials: JA
authors.lastname: Ake
authors.forename: Robert F
authors.initials: RF
authors.lastname: Massung
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Whitman
authors.forename: Todd D
authors.initials: TD
authors.lastname: Gleeson
mesh_terms: 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
chemical_list: D000907:Antibodies, Bacterial