title: Delayed diagnosis of chronic Q fever and cardiac valve surgery.
abstract: Untreated chronic Q fever causes a high number of complications and deaths. We present cases of chronic Q fever that were not diagnosed until after the patients underwent cardiac valve surgery. In epidemic areas, Q fever screening of valve surgery patients secures early initiation of treatment and can prevent illness and death.
authors: University Medical Center Utrecht, Utrecht, The Netherlands. l.m.kampschreur@umcutrecht.nl
authors: Linda M
authors: LM
authors: Kampschreur
authors: Elske
authors: E
authors: Hoornenborg
authors: Nicole H M
authors: NH
authors: Renders
authors: Jan Jelrik
authors: JJ
authors: Oosterheert
authors: Joost F
authors: JF
authors: Haverman
authors: Peter
authors: P
authors: Elsman
authors: Peter C
authors: PC
authors: Wever
mesh_terms: D000368:Aged; D000907:Antibodies, Bacterial / Q000097:blood / Q000276:immunology; D016997:Coxiella burnetii / Q000276:immunology / Q000302:isolation & purification*; D057210:Delayed Diagnosis; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis / Q000382:microbiology*; D006351:Heart Valves / Q000601:surgery; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood / Q000276:immunology; D008297:Male; D011778:Q Fever / Q000150:complications / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery
chemical_list: D000907:Antibodies, Bacterial; D007074:Immunoglobulin G
keywords: Coxiella burnetii; Q fever; Q fever endocarditis; bacteria; cardiac surgical procedures; chronic Q fever; valvular heart disease; valvulopathy; zoonoses
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