Ciudad M, Anguita M, Gallardo A, Zayas R, Ruiz M, Mesa D, Franco M, Vallés F
Servicio de Cardiología, Hospital Reina Sofía, Córdoba.
Rev Esp Cardiol. 1994 Feb;47(2):119-21.
We report a case of a patient with an aortic prosthetic valve who had Q fever endocarditis, glomerulonephritis and rapidly progressive renal failure. He was seen in 1987 and successfully treated by heart valve surgery and a one-year course of doxycycline. Five years later, the patient had another episode of Q fever endocarditis, involving the native mitral valve, complicated with acute renal failure and severe mitral regurgitation that required hemodialysis and mitral valve replacement. The outcome was again successful. This case report raises the question of whether Q fever endocarditis can be eradicated, and also the required duration of antibiotic therapy for this disease.
我们报告一例主动脉人工瓣膜患者，其患有Q热心内膜炎、肾小球肾炎和快速进行性肾衰竭。该患者于1987年就诊，通过心脏瓣膜手术及为期一年的强力霉素治疗获得成功。五年后，该患者再次发生Q热心内膜炎，累及自身二尖瓣，并发急性肾衰竭和严重二尖瓣反流，需要进行血液透析和二尖瓣置换。结果再次成功。本病例报告提出了Q热心内膜炎能否根除的问题，以及针对该疾病所需的抗生素治疗疗程。
