António Santos Carolina, Parreira Inês, Alves Cardoso Ana
Department of Internal Medicine, Unidade Local de Saúde Santa Maria, Lisbon, PRT.
Cureus. 2025 Jun 16;17(6):e86147. doi: 10.7759/cureus.86147. eCollection 2025 Jun.
Q fever is a zoonosis caused by the bacterium , with goats, sheep, and cattle as the main reservoirs. Transmission to humans mainly occurs via inhalation of contaminated aerosols. Q fever can be acute or chronic, with infective endocarditis being the most common manifestation of the latter. It can be challenging to diagnose given the variety of clinical manifestations, and is usually diagnosed with the aid of serological tests. endocarditis is associated with a significant morbidity and mortality rate, and it is essential to make a rapid diagnosis of the condition in order to start targeted therapy as soon as possible. Treatment is based on antibiotic therapy, and surgical intervention may be necessary. We report a case of asymptomatic Q fever endocarditis and describe its diagnostic course, treatment, and follow-up.
Q热是一种由 细菌引起的人畜共患病,山羊、绵羊和牛是主要宿主。人类主要通过吸入受污染的气溶胶而感染。Q热可分为急性和慢性,感染性心内膜炎是后者最常见的表现。鉴于临床表现多样,Q热的诊断可能具有挑战性,通常借助血清学检测进行诊断。感染性心内膜炎与较高的发病率和死亡率相关,为尽快开始针对性治疗,对该病进行快速诊断至关重要。治疗以抗生素治疗为基础,可能需要进行手术干预。我们报告一例无症状Q热心内膜炎病例,并描述其诊断过程、治疗及随访情况。