Chronic Q fever-related dual-pathogen endocarditis: case series of three patients

J Clin Microbiol. 2011 Apr;49(4):1692-4. doi: 10.1128/JCM.02596-10. Epub 2011 Feb 2.

Abstract

Following Coxiella burnetii infection, there is a 1 to 5% risk of chronic Q fever. Endocarditis, mycotic aneurysm, and vascular prosthesis infection are common manifestations. We present three patients with endocarditis by C. burnetii concomitant with another bacterial pathogen. Chronic Q fever should therefore be considered in all endocarditis patients in regions where Q fever is endemic.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / microbiology
  • Female
  • Gram-Negative Aerobic Rods and Cocci / isolation & purification
  • Gram-Negative Bacterial Infections / diagnosis*
  • Gram-Negative Bacterial Infections / microbiology
  • Humans
  • Male
  • Q Fever / complications
  • Q Fever / diagnosis
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / microbiology
  • Streptococcus / isolation & purification