Almeida M, Paixão P, Ferreira J, Trabulo M, Gil V, Marques T, Silva A, Seabra-Gomes R
Serviçe de Cardiologia, Hospital de Santa Cruz, Carnaxide, Portugal.
Rev Port Cardiol. 1996 Nov;15(11):799-803, 772.
Endocarditis is a rare, but some times fatal, complication of Q fever. Its diagnosis is difficult and it is based on non-specific cardiac findings and a high title of phase I antibodies. The treatment is based on tetracyclines alone or in combination with cotrimoxazole, for long periods of time. The therapeutic efficacy is evaluated by the measurement of phase I antibodies, every three months. The relapses are frequent despite the long period of antibiotic therapy. We report what is probably the first case of Q fever prosthesis endocarditis in Portugal, as a complication following an acute episode of Q fever.
心内膜炎是Q热一种罕见但有时致命的并发症。其诊断困难，基于非特异性心脏表现和高滴度的I期抗体。治疗基于单独使用四环素或与复方新诺明联合使用，疗程较长。通过每三个月检测I期抗体来评估治疗效果。尽管抗生素治疗疗程长，但复发很常见。我们报告了葡萄牙可能首例Q热人工瓣膜心内膜炎病例，作为Q热急性发作后的并发症。
