Turk Kardiyol Dern Ars. 2020; 48(1): 72-76 | DOI: 10.5543/tkda.2019.59153
Q fever endocarditis: is it always subacute or chronic?
Mehmet Rasih Sonsöz1
, Elif Agüloğlu Bali2
, Mehmet Aydoğan1
, Fehmi Mercanoğlu1
, Serap Şimşek Yavuz21
Department of Cardiology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey2
Department of Infectious Diseases, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
Q fever is a zoonotic disease caused by Coxiella burnetii, an obligate intracellular bacterium, which cannot be grown using routine blood culture methods. Although C. burnetii is reported to be the causative agent in approximately 50% of blood culture-negative infective endocarditis cases in developed countries, the incidence in Turkey is yet to be defined. The clinical course of Q fever endocarditis is generally subacute and chronic; the disease may be present for years with only subtle symptoms and no vegetation visible on echocardiography while the bacteria gradually destroy the heart valves. This is the case of the successful treatment of a young man with Q fever endocarditis that had an acute clinical course. In 1 month, he developed New York Heart Association class IV heart failure and a large, 3-cm vegetation was observed on an echocardiogram.Keywords:
Acute Q fever endocarditis, Coxiella burnetii, echocardiogram, heart failure; infective endocarditis; Q fever; valve replacement; vegetation.
How to cite this article
Mehmet Rasih Sonsöz, Elif Agüloğlu Bali, Mehmet Aydoğan, Fehmi Mercanoğlu, Serap Şimşek Yavuz. Q fever endocarditis: is it always subacute or chronic?. Turk Kardiyol Dern Ars. 2020; 48(1): 72-76
Corresponding Author: Mehmet Rasih Sonsöz, Türkiye