Gunn Tyler M, Raz Guy M, Turek Joseph W, Farivar Robert Saeid
Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
J Card Surg. 2013 May;28(3):233-7. doi: 10.1111/jocs.12098. Epub 2013 Apr 10.
Q fever is a zoonotic disease caused by Coxiella burnetii, an uncommon intracellular bacterium found in livestock and domesticated dogs and cats. A minority of patients who acquire acute Q fever will subsequently develop chronic Q fever endocarditis, which often manifests in valvular insufficiency.
We review recent literature and report the clinical presentation, treatment, and serology of three surgical patients with Q fever.
Three patients with Q fever were successfully treated at our institution, including the first known case of a C. burnetii infection manifesting in a pediatric patient with isolated aortic coarctation.
Q热是一种由伯氏考克斯体引起的人畜共患病，伯氏考克斯体是一种在牲畜以及家养犬猫中发现的罕见细胞内细菌。少数感染急性Q热的患者随后会发展为慢性Q热心内膜炎，其常表现为瓣膜功能不全。
我们回顾了近期文献，并报告了3例Q热外科手术患者的临床表现、治疗及血清学情况。
我们机构成功治疗了3例Q热患者，其中包括首例已知的表现为单纯主动脉缩窄的儿科患者感染伯氏考克斯体的病例。
