Endocarditis by Coxiella burnetti. A chronic form of Q fever. Report of one case
Urbano-Márquez, A.; Grau Junyent, J.M.; Valls Arara, V.; Periz Sagué, A.; Cardellach, F.; Navarro López, F.; Revert, L.; Rozman, C.
Medicina Clinica 73(6): 242-246
1979
ISSN/ISBN: 0025-7753 PMID: 547128 Document Number: 148807
The authors describe a case of chronic endocarditis by Q fever, in a patient who had been operated for coarctation of the aorta twelve years previously and at the same time was carrier of a congenital bivalve aorta. The clinical picture was suggestive of subacute endocarditis, but the blood culture was negative repeatedly. There was also a prolonged and relapsing febrile syndrome over a period of one-year-and-a-half. The following data are also worthy of note: the coexistence of a liver disorder and a focal and segmentary glomerulonephritis. Based on some recent publications (one by the same group) the authors feel that Coxiellosis burnetti must be more frequent in their environment than is suspected.