伊朗东北部的Q热心内膜炎
Q Fever Endocarditis in Northeast Iran.
作者信息
Heydari Ali Akbar, Mostafavi Ehsan, Heidari Masoumeh, Latifian Mina, Esmaeili Saber
机构信息
Research Center for Infection Control & Hand Hygiene, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Epidemiology and Biostatics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.
出版信息
Case Rep Infect Dis. 2021 May 28;2021:5519164. doi: 10.1155/2021/5519164. eCollection 2021.
Abstract
This report presents a case of chronic Q fever endocarditis. A 60-year-old male farmer and rancher was admitted to the hospital with symptoms of weight loss, fever, severe sweating, weakness, and anorexia. PCR was negative for in the blood sample, but phase I and II IgG antibodies against were positive (1 : 16384 and 1 : 2048, respectively) by the indirect immunofluorescent assay (IFA). According to the adjusted Duke criteria, Q fever endocarditis was confirmed, and the patient was successfully treated with doxycycline and hydroxychloroquine.
摘要
本报告介绍了一例慢性Q热心内膜炎病例。一名60岁的男性农民兼牧场主因体重减轻、发热、严重出汗、虚弱和厌食症状入院。血液样本的PCR检测结果为阴性，但通过间接免疫荧光法（IFA）检测，抗I相和II相IgG抗体呈阳性（分别为1∶16384和1∶2048）。根据修订的杜克标准，确诊为Q热心内膜炎，该患者接受强力霉素和羟氯喹治疗成功。
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