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

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.
AuthorsLinda M Kampschreur, Jan Jelrik Oosterheert, Cornelia A de Vries Feyens, Corine E Delsing, Mirjam H A Hermans, Ingrid L L van Sluisveld, Peter J Lestrade, Nicole H M Renders, Peter Elsman, Peter C Wever
JournalJournal of clinical microbiology (J Clin Microbiol) Vol. 49 Issue 4 Pg. 1692-4 (Apr 2011) ISSN: 1098-660X [Electronic] United States
PMID21289146 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Aged, 80 and over
  • Endocarditis, Bacterial (diagnosis, microbiology)
  • Female
  • Gram-Negative Aerobic Rods and Cocci (isolation & purification)
  • Gram-Negative Bacterial Infections (diagnosis, microbiology)
  • Humans
  • Male
  • Q Fever (complications, diagnosis)
  • Streptococcal Infections (diagnosis, microbiology)
  • Streptococcus (isolation & purification)

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