Q Fever Endocarditis in Northeast Iran
Author(s) -
Ali Akbar Heydari,
Ehsan Mostafavi,
Masoumeh Heidari,
Mina Latifian,
Saber Esmaeili
Publication year - 2021
Publication title -
case reports in infectious diseases
Language(s) - English
Resource type - Journals
eISSN - 2090-6625
pISSN - 2090-6633
DOI - 10.1155/2021/5519164
Subject(s) - medicine , doxycycline , anorexia , coxiella burnetii , hydroxychloroquine , endocarditis , infective endocarditis , weakness , q fever , high fever , surgery , virology , antibiotics , microbiology and biotechnology , covid-19 , infectious disease (medical specialty) , biology , disease
This report presents a case of chronic Q fever endocarditis. A 60-year-old male farmer and rancher was admitted to the hospital with symptoms of weight loss, fever, severe sweating, weakness, and anorexia. PCR was negative for C. burnetii in the blood sample, but phase I and II IgG antibodies against C. burnetii were positive (1 : 16384 and 1 : 2048, respectively) by the indirect immunofluorescent assay (IFA). According to the adjusted Duke criteria, Q fever endocarditis was confirmed, and the patient was successfully treated with doxycycline and hydroxychloroquine.
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