title: A case of recurrent fever in an older man caused by Coxiella burnetii.
abstract: Q fever is a zoonosis caused by the intracellular bacterium Coxiella burnetii. While it is mostly an asymptomatic infection, acute disease can manifest as fever associated with signs of pneumonia or hepatitis. Chronic Q fever develops in 1-5% of infected persons. Patients with a history of cardiac valve surgery, vascular prosthesis or vascular aneurysm, and to a lesser extent patients with pre-existing valvular disease, immune deficiencies, or renal insufficiency, are at highest risk. Most common manifestations are Q fever endocarditis and Q fever vascular infection. We present a case of chronic Q fever, followed by a summary of available literature.
authors: a Department of General Internal Medicine , Antwerp University Hospital , Belgium.
authors: Dessie
authors: D
authors: Roothans
authors: a Department of General Internal Medicine , Antwerp University Hospital , Belgium.
authors: Sabrina
authors: S
authors: van Ierssel
authors: a Department of General Internal Medicine , Antwerp University Hospital , Belgium.
authors: Greta
authors: G
authors: Moorkens
mesh_terms: D000369:Aged, 80 and over; D016997:Coxiella burnetii / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D011778:Q Fever / Q000175:diagnosis* / Q000382:microbiology*
keywords: Coxiella burnetii; Endocarditis; Q fever; Recurrent fever; Zoonosis