Valvular fibroelastomas complicated by Coxiella burnetti endocarditis

Eyal Meltzer; Tawfiq Abu Al-Rub; Rafael Kuperstein; Leonid Sternik; Nadia Prisant; Shmuel Stienlauf

doi:10.1016/j.ahjo.2021.100008

Valvular fibroelastomas complicated by Coxiella burnetti endocarditis

Am Heart J Plus. 2021 Apr 20:2:100008. doi: 10.1016/j.ahjo.2021.100008. eCollection 2021 Feb.

Authors

Eyal Meltzer^{1

2}, Tawfiq Abu Al-Rub¹, Rafael Kuperstein³, Leonid Sternik⁴, Nadia Prisant⁵, Shmuel Stienlauf^{1

2}

Affiliations

¹ Department of Medicine C, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
² Sackler school of medicine, Tel Aviv University, Tel Aviv, Israel.
³ Non Invasive Cardiology Unit, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
⁴ Department of Cardiac Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
⁵ Department of Pathology, The Chaim Sheba Medical Center, Tel Hashomer, Israel.

Abstract

Cardiac papillary fibroelastoma (CPF) is a valvular tumor that may be mistaken for infective endocarditis (IE). We describe a case of CPF complicated by Coxiella burnetti IE. According to Duke's criteria, a diagnosis of IE was repeatedly considered as excluded or established during the clinical course, highlighting the criteria limitations.

Keywords: Coxiella burnetti; Endocarditis/diagnosis; Infective endocarditis; Papillary fibroelastoma; Primary cardiac tumor.