Moustaghfir A, Deharo J C, Dupont H T, Macaluso G, Raoult D, Djiane P
Service de cardiologie, Hôpital Sainte-Marguerite, Marseille.
Arch Mal Coeur Vaiss. 1995 Nov;88(11):1657-9.
The authors report a case of pleuro-pericarditis during an acute Coxiella burnetii infection. They point out the rarity of this mode of presentation of acute Q fever and the diagnostic difficulties in the absence of focal pulmonary or hepatic signs. The diagnosis was confirmed by serological changes, essentially indirect immunofluorescence. They underline the importance of early diagnosis before the disease become chronic, exposing the patient to more serious cardiac disease which may be difficult to treat.
作者报告了一例急性伯氏考克斯体感染期间发生的胸膜心包炎病例。他们指出这种急性Q热表现形式罕见，且在没有肺部或肝脏局灶性体征时诊断困难。诊断通过血清学变化得以证实，主要是间接免疫荧光法。他们强调在疾病转为慢性之前早期诊断的重要性，因为这会使患者面临更严重且可能难以治疗的心脏疾病。
