Endocarditis After Acute Q Fever in Patients with Previously Undiagnosed Valvulopathies

We describe 3 cases of endocarditis after acute Q fever in 3 patients with clinically silent, undiagnosed valvulopathies, including mitral valve prolapse, minimal valvular leak, and biscuspid aortic valve. We conclude that, to prevent endocarditis, these minor valvulopathies must be actively searche...

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Veröffentlicht in:	Clinical infectious diseases 2006-03, Vol.42 (6), p.818-821
Hauptverfasser:	Fenollar, Florence, Thuny, Franck, Xeridat, Bernard, Lepidi, Hubert, Raoult, Didier
Format:	Artikel
Sprache:	eng
Schlagworte:	Aortic Valve - abnormalities Aortic Valve - diagnostic imaging Aortic Valve - microbiology Bacterial diseases Biological and medical sciences Brief Reports Cardiology. Vascular system Cardiovascular disease Case studies Chronic diseases Echocardiography Endocardial and cardiac valvular diseases Endocarditis Endocarditis, Bacterial - diagnostic imaging Endocarditis, Bacterial - etiology Endocarditis, Bacterial - pathology Female Fever Heart Heart Valve Diseases - complications Heart Valve Diseases - diagnostic imaging Heart Valve Diseases - microbiology Heart valves Human bacterial diseases Humans Infections Infectious diseases Male Medical sciences Middle Aged Mitral Valve - diagnostic imaging Mitral Valve - microbiology Mitral Valve - pathology Mitral valve prolapse Mitral Valve Prolapse - complications Mitral Valve Prolapse - diagnostic imaging Mitral Valve Prolapse - microbiology Patient assessment Q fever Q Fever - complications Rickettsial diseases Teeth Transesophageal echocardiography Tropical bacterial diseases Ultrasonic imaging
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Zusammenfassung:	We describe 3 cases of endocarditis after acute Q fever in 3 patients with clinically silent, undiagnosed valvulopathies, including mitral valve prolapse, minimal valvular leak, and biscuspid aortic valve. We conclude that, to prevent endocarditis, these minor valvulopathies must be actively searched for with echocardiography after diagnosis of acute Q fever.
ISSN:	1058-4838 1537-6591
DOI:	10.1086/500402