Tricuspid and aortic valve and ventricular septal defect endocarditis: an unusual presentation of acute Q fever.
Q fever is a rare systemic infection caused by Coxiella Burnetii. The presentation with endocarditis is insidious, with negative blood cultures, and oftentimes it is not obvious in diagnostic imaging studies until hemodynamic changes or valve destruction is reached. We report a case of Q fever endocarditis involving the tricuspid and aortic valves and a congenital ventricular septal defect. Surgical treatment and distinct aspects of this unusual case are herein described.
Pagni
Sebastian
S
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky 40202, USA. spagni@ucsamd.com
Dempsey
Anthony
A
Austin
Erle H
EH
D000208:Acute Disease; D000328:Adult; D000907:Antibodies, Bacterial / Q000032:analysis; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016997:Coxiella burnetii / Q000276:immunology; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000379:methods; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D011778:Q Fever / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
D000907:Antibodies, Bacterial