1/152. Chronic sternal wound infection and endocarditis with coxiella burnetii.Chronic q fever is most commonly associated with culture-negative endocarditis and less frequently with infection of vascular grafts, infection of aneurysms, hepatitis, pulmonary disease, osteomyelitis, and neurological abnormalities. We report a case of chronic sternal wound infection, polyclonal gammopathy, and mixed cryoglobulinemia in which q fever endocarditis was subsequently diagnosed. polymerase chain reaction analysis of the wound tissue was positive for Coxiella burnetii dna, and treatment of the endocarditis resulted in prompt healing of the wound. Chronic q fever can occur without epidemiological risk factors for C. burnetii exposure and can produce multisystem inflammatory dysfunction, aberrations of the immune system, and persistent wound infections.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
2/152. coxiella burnetii pericarditis: report of 15 cases and review.q fever is characterized by its clinical polymorphism, and pericarditis associated with q fever has occasionally been described. Herein we report 15 cases of coxiella burnetii pericarditis, 9 from our data bank and 6 encountered within the past 12 months. Three patients presented with life-threatening tamponade. We compare our cases with the 18 previously reported and with 60 q fever-matched controls at our center. This study showed that q fever pericarditis can present as acute as well as chronic disease; we describe relapse after 6 months in association with a serological profile compatible with the chronic form of disease (phase I C. burnetii IgG titer of > or = 800). Discriminant factors among patients and controls are age of > 52 years (adjusted odds ratio [OR], 5.66), the occurrence of general symptoms such as arthralgias or myalgias (adjusted OR, 6.54), and a normal erythrocyte sedimentation rate (adjusted OR, 16.37). No specific symptoms or underlying cardiac predispositions are observed.- - - - - - - - - - ranking = 1.3333333333333keywords = fever (Clic here for more details about this article) |
3/152. livedo reticularis revealing a latent infective endocarditis due to Coxiella burnetti.We report the first case of livedo reticularis revealing a latent infective endocarditis due to Coxiella burnetti. The patient, a 54-year-old woman, also had chronic thrombocytopenia and mixed cryoglobulinemia. Chronic q fever was confirmed by serodiagnosis and livedo regressed totally with doxycycline and hydroxychloroquine.- - - - - - - - - - ranking = 0.33333333333333keywords = fever (Clic here for more details about this article) |
4/152. First report of q fever in oman.Although serologic evidence suggests the presence of q fever in humans and animals in saudi arabia and the united arab emirates, acute q fever has not been reported on the Arabian Peninsula. We report the first two cases of acute q fever in oman.- - - - - - - - - - ranking = 2.3333333333333keywords = fever (Clic here for more details about this article) |
5/152. q fever after a journey in syria: a diagnosis suggested by bone marrow biopsy.A Belgian patient developed q fever after a journey in syria. coxiella burnetii infection was diagnosed because of the presence of granulomas with a central vacuole in a bone marrow biopsy. During doxycycline treatment all his symptoms disappeared.- - - - - - - - - - ranking = 1.6666666666667keywords = fever (Clic here for more details about this article) |
6/152. Primary aortoduodenal fistula and q fever: an underrecognized association?We report a rare case of primary aortoduodenal fistula (ADF) secondary to a coxiella burnetii (q fever) infection in a patient with an abdominal aortic aneurysm. A review of the available literature on the vascular complications of q fever is presented. q fever should be suspected in vascular patients with close animal contact when a standard infectious work-up is unrevealing. Diagnostic steps and management strategies for primary ADF are also briefly reviewed.- - - - - - - - - - ranking = 2.3333333333333keywords = fever (Clic here for more details about this article) |
7/152. Spontaneous rupture of spleen due to q fever.Spontaneous rupture of the spleen is a rare complication of acute q fever infection. Only two cases have been reported, both in europe. This is the first reported case of spontaneous rupture of the spleen caused by acute q fever in the united states.- - - - - - - - - - ranking = 2keywords = fever (Clic here for more details about this article) |
8/152. A case of q fever acquired in sweden and isolation of the probable ethiological agent, coxiella burnetii from an indigenous source.Serologically verified indigenous q fever is described in a 52-y-old male, who presented with persistent fever, muscle and joint pain, headache and non-purulent cough. Institution of doxycycline resulted in prompt recovery. coxiella burnetii was isolated from mouldy hay in a barn. The strain differs from previously isolated ones in sweden.- - - - - - - - - - ranking = 2keywords = fever (Clic here for more details about this article) |
9/152. q fever encephalitis with cytokine profiles in serum and cerebrospinal fluid.A 7-year-old boy with acute encephalitis was proved to have coxiella burnetii infection. cerebrospinal fluid but not serum had elevated values of interleukins 1-beta and 6, but not of tumor necrosis factor.- - - - - - - - - - ranking = 1.3333333333333keywords = fever (Clic here for more details about this article) |
10/152. myocarditis, a rare but severe manifestation of q fever: report of 8 cases and review of the literature.myocarditis has only rarely been described as a manifestation of acute q fever. Among our series of 1276 patients in whom acute q fever was diagnosed during 1985--1999, myocarditis was diagnosed in 8. Two patients (25.0%) developed cardiac symptoms during the course of interstitial pneumonia, 2 (25.0%) initially presented with unexplained fever, and 1 (12.5%) presented with febrile cutaneous rash. In 3 patients, cardiac symptoms were inaugural: 1 patient experienced heart failure, and 2 experienced precordial pain. Dilated cardiomyopathy was documented in 7 patients, and 2 (1 of whom had undergone heart transplantation) died despite therapy. In addition, 1 patient was scheduled for heart transplantation because of cardiac insufficiency. When the patients in this study were compared with 32 control patients with acute q fever, no specific epidemiological or clinical features were associated with this disease except worse prognosis (P=.006). Moreover, among the 12 patients from our series who died as a result of acute q fever, 2 patients, who were significantly younger than the other 9 patients (P=.03), had myocarditis. Our study highlights the severity of coxiella burnetii myocarditis.- - - - - - - - - - ranking = 3keywords = fever (Clic here for more details about this article) |
| | Next -> |