Jourdain P, Pousset F, Ganty J, Komajda M, Thomas D
Service de cardiologie, groupe hospitalier de La Pitié-La Salpêtrière, Paris.
Arch Mal Coeur Vaiss. 1999 Jul;92(7):915-7.
A murmur of aortic regurgitation was discovered in an asymptomatic patient who had suffered from an acute Coxiella Burnetti infection several months before hand. Transoesophageal echocardiography, serology and direct immunofluorescence of the aortic valve confirmed the diagnosis of Q fever endocarditis. Treatment with Vibramycin and Plaquenil was instituted after aortic valve replacement. Cardiac complications of Q fever should be recognised as they may remain asymptomatic for long periods of time. Transthoracic and transoesophageal echocardiography should be widely used in acute forms of Q fever and systematic in chronic infections with Coxiella Burnetti.
在一名无症状患者中发现了主动脉瓣反流杂音，该患者数月前曾患急性伯氏考克斯体感染。经食管超声心动图、血清学检查以及主动脉瓣直接免疫荧光检查确诊为Q热心内膜炎。在进行主动脉瓣置换术后，采用强力霉素和羟氯喹进行治疗。Q热心脏并发症应引起重视，因为它们可能长时间无症状。经胸和经食管超声心动图应广泛应用于急性Q热形式，并在慢性伯氏考克斯体感染中系统使用。
