既往未诊断瓣膜病患者急性Q热后的心内膜炎。

Endocarditis after acute Q fever in patients with previously undiagnosed valvulopathies.

作者信息

Fenollar Florence, Thuny Franck, Xeridat Bernard, Lepidi Hubert, Raoult Didier

机构信息

Unite des Rickettsies, Universite de la Mediterranee, Marseille, France.

出版信息

Clin Infect Dis. 2006 Mar 15;42(6):818-21. doi: 10.1086/500402. Epub 2006 Feb 9.

DOI:10.1086/500402

PMID:16477559

Abstract

We describe 3 cases of endocarditis after acute Q fever in 3 patients with clinically silent, undiagnosed valvulopathies, including mitral valve prolapse, minimal valvular leak, and biscuspid aortic valve. We conclude that, to prevent endocarditis, these minor valvulopathies must be actively searched for with echocardiography after diagnosis of acute Q fever.

摘要

我们描述了3例急性Q热后发生心内膜炎的病例，这3例患者均患有临床上无症状、未被诊断出的瓣膜病，包括二尖瓣脱垂、轻微瓣膜反流和二叶式主动脉瓣。我们得出结论，为预防心内膜炎，在诊断急性Q热后，必须通过超声心动图积极筛查这些轻微瓣膜病。