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Tytuł:
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[Q fever endocarditis - a rare condition with high mortality].
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Autorzy:
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Louca A; spe-cialistläkare, medicin-kliniken, Södra Älvsborgs sjukhus, Borås.
Shahnavaz A; överläkare, infektionskliniken, Södra Älvsborgs sjukhus, Borås.
Florin Ljungkvist J; ST-läkare, infektionskliniken, Länssjukhuset Ryhov, Jönköping.
Snygg-Martin U; med dr, överläkare, infektionskliniken, Sahlgrenska universitetssjukhuset/Östra.
Tygesen H; med dr, överläkare, medicinkliniken, hjärtsektionen, Södra Älvsborgs Sjukhus, Borås.
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Transliterated Title:
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Q-feberendokardit – en ovanlig åkomma med hög mortalitet.
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Źródło:
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Lakartidningen [Lakartidningen] 2021 Mar 30; Vol. 118. Date of Electronic Publication: 2021 Mar 30.
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Typ publikacji:
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Journal Article
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Język:
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Swedish
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Imprint Name(s):
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Original Publication: Stockholm : Sveriges Lakarforbund
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MeSH Terms:
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Coxiella burnetii*
Endocarditis*
Endocarditis, Bacterial*/diagnosis
Endocarditis, Bacterial*/drug therapy
Heart Valve Diseases*
Q Fever*/complications
Q Fever*/diagnosis
Q Fever*/drug therapy
Animals ; Cattle ; Female ; Humans ; Pregnancy ; Sheep
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Entry Date(s):
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Date Created: 20210331 Date Completed: 20210416 Latest Revision: 20210416
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Update Code:
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20240104
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PMID:
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33788204
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Coxiella burnetii is the causative agent of Q fever. It can manifest in both acute and chronic forms. Culture-negative endocarditis is the most common and serious presenting form of chronic Q fever. This occurs almost exclusively in patients with a pre-existing valvulopathy including valve prosthesis or immunocompromised patients as well as in pregnant women. Diagnosis is often delayed or missed due to the nonspecific symptoms of the condition. Without the proper antimicrobial therapy, the mortality is high. Q fever endocarditis should be suspected especially in people who recently had acute Q fever, people who come from endemic areas as well as people with occupational contact with sheep, goats and cattle and endocarditis symptoms. In this article we present a case with a patient who died of unknown cause and where PCR performed on autopsy of the valve revealed Q fever endocarditis.