Q fever endocarditis in Iran: A case report.
In this report, we describe the first chronic case of Q fever endocarditis in a 72-year-old woman in Iran. The patient developed radiation-associated heart disease status post (s/p) coronary artery bypass surgery, mitral and aortic valve replacements, and tricuspid valve repair. Endocarditis was also suspected due to a history of heart valve surgery. Blood cultures were negative, but a diagnosis of Q fever endocarditis was confirmed based on serologic titers (IgG phase I 1:32,768). The patient was treated with doxycycline and hydroxychloroquine.
Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran; National Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Akanlu, Kabudar-Ahang, Hamadan, Iran.
Farhad
F
Yaghmaie
Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran; National Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Akanlu, Kabudar-Ahang, Hamadan, Iran.
Saber
S
Esmaeili
Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Sanjeev A
SA
Francis
Department of Epidemiology, Pasteur Institute of Iran, Tehran, Iran; National Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Akanlu, Kabudar-Ahang, Hamadan, Iran. Electronic address: mostafaviehsan@gmail.com.
Ehsan
E
Mostafavi
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000907:Antibodies, Bacterial / Q000097:blood; D018501:Antirheumatic Agents / Q000008:administration & dosage; D002908:Chronic Disease; D004318:Doxycycline / Q000008:administration & dosage; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000473:pathology*; D005260:Female; D006801:Humans; D006886:Hydroxychloroquine / Q000008:administration & dosage; D007074:Immunoglobulin G / Q000097:blood; D007492:Iran; D011778:Q Fever / Q000150:complications* / Q000175:diagnosis*
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D018501:Antirheumatic Agents; D007074:Immunoglobulin G; D006886:Hydroxychloroquine; D004318:Doxycycline
Coxiella burnetii; Endocarditis; Female; Iran; Q fever