Endocarditis Caused by Coxiella burnetii: A Case Report in Western Iran

Pub Date : 2024-06-08 DOI:10.18502/jad.v18i1.15674
S. Afrasiabian, S. Esmaeili, K. Hajibagheri, Nooshin Hadizadeh, Gohar Lotfi, A. Veysi
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引用次数: 0

Abstract

Background: Q fever is a contagious zoonotic disease which is caused by a gram-negative and intracellular Cocco­bacillus known as Coxiella burnetii ticks play a role in its transmission. Endocarditis is the most common consequence of chronic Q fever. Methods: Here we report a case of endocarditis caused by Q fever. The patient is a 67-year-old, and she had coronary artery bypass graft (CABG) and aortic valve replacement surgery. Results: The result of echocardiography showed a suspicious mass (Vegetation) on the implanted valve. Based on la­boratory and clinical assessments, endocarditis caused by C. burnetii was the final diagnosis. Conclusion: Q fever is a tick-transmitted pathogen that has been known as an important cause of culture-negative en­docarditis in Iran, and more attention needs to be paid to this disease in Iran by the healthcare system and physicians.
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烧伤梭菌引起的心内膜炎:伊朗西部的病例报告
背景:Q 热是一种传染性人畜共患病,由一种名为烧伤克氏球菌的革兰氏阴性细胞内球菌引起,蜱虫在传播过程中起了一定作用。心内膜炎是慢性 Q 热最常见的后果。方法:我们在此报告一例由 Q 热引起的心内膜炎病例。患者 67 岁,曾做过冠状动脉旁路移植术(CABG)和主动脉瓣置换手术。手术结果超声心动图结果显示植入瓣膜上有可疑肿块(植被)。根据实验室和临床评估,最终诊断为烧伤梭菌引起的心内膜炎。结论Q热是一种蜱传播的病原体,是伊朗培养阴性心内膜炎的重要病因,伊朗的医疗系统和医生需要更加关注这种疾病。
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