First case of Q fever endocarditis in Croatia and a short review.
We present a 70-year-old man from Dalmatia, Croatia, with a history of prolonged high fever diagnosed as Q fever endocarditis. As far as we know, this is the first case of chronic Q fever in Croatia. The treatment was started as for culture-negative endocarditis, but was without clinical response. After significantly high anti-phase I IgG plus IgA antibodies titers to Coxiella burnetii were shown, the initial treatment with doxycycline was changed and ciprofloxacin was started with good clinical response.
Department of Cardiology, Zadar General Hospital, Zadar, Croatia. opca.bolnica.zadar@zd.t-com.hr
Drazen
D
Zekanović
Miro
M
Morović
Marina Nekić
MN
Borcilo
Oktavija Daković
OD
Rode
D000368:Aged; D002939:Ciprofloxacin / Q000008:administration & dosage; D004318:Doxycycline / Q000008:administration & dosage; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D006886:Hydroxychloroquine / Q000627:therapeutic use; D008297:Male; D011778:Q Fever / Q000175:diagnosis / Q000188:drug therapy*
D006886:Hydroxychloroquine; D002939:Ciprofloxacin; D004318:Doxycycline