Beaufort-Krol G C, Van Leeuwen G H, Storm C J, Richardus J H, Dumas A M, Schaap G J
Tijdschr Kindergeneeskd. 1985 Aug;53(4):153-7.
The case-history of a 7-year-old boy with endocarditis, myocarditis and pericarditis, possibly caused by Coxiella burnetii (Q-fever), is presented. As far as we know only one case of Q-fever endocarditis in a child is previously described in literature. That child had, contrary to our patient, a pre-existing valve abnormality. Q-fever was diagnosed after demonstration of a significant rise in titer of the antibodies against Coxiella burnetii in both the IgM and the IgG fractions. IgA antibodies, indicative for an endocarditis, were also demonstrated.
本文介绍了一名7岁男孩的病史，他患有心内膜炎、心肌炎和心包炎，可能由伯氏考克斯体（Q热）引起。据我们所知，文献中此前仅描述过一例儿童Q热心内膜炎病例。与我们的患者不同，那个孩子之前存在瓣膜异常。在IgM和IgG组分中抗伯氏考克斯体抗体滴度显著升高后，确诊为Q热。还检测到了提示心内膜炎的IgA抗体。
