Maillet J M, Ben Hamda K, Fouchard J
Service des maladies cardiovasculaires, hôpital Cochin, Paris.
Arch Mal Coeur Vaiss. 1996 Jan;89(1):95-7.
A patient with two bioprostheses was admitted to hospital with pyrexia and a small vegetation on the aortic bioprosthesis visible only on transoesophageal echocardiography without aortic incompetence. Blood cultures were negative. Serology to Coxiella burnetti was positive at high dilution and confirmed the diagnosis of infectious endocarditis. Medical therapy with doxycycline and chloroquine was instaured without surgery. A Coxiella burnetti infection should be systematically searched for in all cases of endocarditis with negative blood cultures. The features of this infection, particularly the aetiological circumstances, diagnosis, history and treatment are reviewed.
一名植入了两个生物假体的患者因发热入院，经食管超声心动图仅发现主动脉生物假体上有一个小赘生物，无主动脉瓣关闭不全。血培养阴性。对贝纳柯克斯体的血清学检查在高稀释度时呈阳性，确诊为感染性心内膜炎。未进行手术，开始使用强力霉素和氯喹进行药物治疗。对于所有血培养阴性的心内膜炎病例，均应系统检查是否存在贝纳柯克斯体感染。本文对这种感染的特征，特别是病因、诊断、病史及治疗进行了综述。
