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蜱叮咬所致Q热引起的感染性心内膜炎：一例报告

Infective Endocarditis Due to Q Fever From a Tick Bite: A Case Report.

作者信息

Mohammed Fawaz, Gleaves Evan, Tellez Watson Patricia, Lusby Heather, Dawson Dowe Jacqueline

机构信息

Internal Medicine, University of Kentucky College of Medicine, Bowling Green, USA.

Cardiology, University of Kentucky, Bowling Green, USA.

出版信息

Cureus. 2024 Jul 8;16(7):e64075. doi: 10.7759/cureus.64075. eCollection 2024 Jul.

DOI:10.7759/cureus.64075
PMID:39114235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11305072/
Abstract

Infection from causes Q fever that manifests with vague symptoms. We report a case of an individual admitted to the hospital with recurrent fevers with a history of multiple tick bites. Further workup revealed examination and laboratory findings consistent with Q fever endocarditis. Fevers resolved with doxycycline and hydroxychloroquine. Our case highlights that suspicion for Q fever should be maintained in patients presenting to the hospital with fevers of unknown origin for prompt recognition and appropriate treatment.

摘要

[病原体名称]感染会引发Q热，症状较为隐匿。我们报告一例患者，因反复发热入院，有多次蜱虫叮咬史。进一步检查发现体格检查及实验室检查结果符合Q热心内膜炎。使用强力霉素和羟氯喹后发热症状消退。我们的病例强调，对于因不明原因发热入院的患者，应始终怀疑Q热，以便及时识别并进行恰当治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/6cd4e09dd887/cureus-0016-00000064075-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/27e83666063f/cureus-0016-00000064075-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/4dc56b92ed85/cureus-0016-00000064075-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/6f23bc8a9d00/cureus-0016-00000064075-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/6cd4e09dd887/cureus-0016-00000064075-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/27e83666063f/cureus-0016-00000064075-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/4dc56b92ed85/cureus-0016-00000064075-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/6f23bc8a9d00/cureus-0016-00000064075-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/11305072/6cd4e09dd887/cureus-0016-00000064075-i04.jpg

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A Narrative Review of Q Fever in Europe.欧洲Q热的叙述性综述
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Cardiac valves in patients with Q fever endocarditis: microbiological, molecular, and histologic studies.Q热心内膜炎患者的心脏瓣膜：微生物学、分子学和组织学研究。
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