title: Q fever endocarditis: an unusual presentation.
abstract: Coxiella burnetii, the agent of Q fever, is an obligate intracellular pathogen typically associated with exposure to livestock. This organism may present with acute or chronic manifestations, the most typical chronic manifestation being endocarditis. We report a highly unusual case of Q fever endocarditis acquired in the United States marked by atypical cardiac manifestations.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, School of Medicine, University of Louisville, Louisville, KY 40292, USA. atgrif01@louisville.edu
authors.forename: Allen T
authors.initials: AT
authors.lastname: Griffin
authors.forename: Martin
authors.initials: M
authors.lastname: Espinosa
authors.forename: Raul
authors.initials: R
authors.lastname: Nakamatsu
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001021:Aortic Valve / Q000000981:diagnostic imaging; D016997:Coxiella burnetii / Q000302:isolation & purification; D004318:Doxycycline / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D006886:Hydroxychloroquine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011778:Q Fever / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D006886:Hydroxychloroquine; D004318:Doxycycline