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.
Zekanović
Drazen
D
Department of Cardiology, Zadar General Hospital, Zadar, Croatia. opca.bolnica.zadar@zd.t-com.hr
Morović
Miro
M
Borcilo
Marina Nekić
MN
Rode
Oktavija Daković
OD
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