Hemodialysis vascular graft as a focus of persistent Q fever

Vincent Ernest; Serge Cammilleri; Philippe Amabile; Mathilde Fedi; Stéphane Burtey; Clarissa Von Kotze; Marion Pelletier; Valérie Moal; Eric Guedj; Cindy Perron; Raafat Boustani; Yvon Berland; Philippe Brunet; Didier Raoult; Pierre-Edouard Fournier; Noémie Jourde-Chiche

doi:10.1007/s15010-018-1206-5

Hemodialysis vascular graft as a focus of persistent Q fever

Infection. 2018 Dec;46(6):881-884. doi: 10.1007/s15010-018-1206-5. Epub 2018 Oct 27.

Authors

Vincent Ernest¹, Serge Cammilleri², Philippe Amabile³, Mathilde Fedi¹, Stéphane Burtey^{1

4}, Clarissa Von Kotze¹, Marion Pelletier¹, Valérie Moal^{1

5}, Eric Guedj², Cindy Perron⁶, Raafat Boustani⁷, Yvon Berland¹, Philippe Brunet^{1

4}, Didier Raoult⁵, Pierre-Edouard Fournier⁸, Noémie Jourde-Chiche^{9

10}

Affiliations

¹ Department of Nephrology, AP-HM Hôpital de la Conception, Aix-Marseille University, 147 Boulevard Baille, 13005, Marseille, France.
² Department of Nuclear Medicine, AP-HM Hôpital de la Timone, Aix-Marseille University, Boulevard Jean Moulin, 13005, Marseille, France.
³ Department of Vascular Surgery, AP-HM Hôpital de la Timone, Aix-Marseille University, Boulevard Jean Moulin, 13005, Marseille, France.
⁴ Center for Cardiovascular Research and Nutrition C2VN, INSERM 1263, INRA 1260, Aix-Marseille University, Marseille, France.
⁵ UMR MEPHI, IRD, AP-HM, IHU Méditerranée-Infection, Aix-Marseille Université, 19-21 Boulevard Jean Moulin, 13005, Marseille, France.
⁶ Department of Cardiology, AP-HM Hôpital de la Timone, Aix-Marseille University, Boulevard Jean Moulin, 13005, Marseille, France.
⁷ Centre d'Hémodialyse des Alpes, Hôpital de Manosque, Manosque, France.
⁸ UMR VITROME, IRD, Service de Santé des Armées, AP-HM, IHU Méditerranée-Infection, Aix-Marseille Université, 19-21 Boulevard Jean Moulin, 13005, Marseille, France.
⁹ Department of Nephrology, AP-HM Hôpital de la Conception, Aix-Marseille University, 147 Boulevard Baille, 13005, Marseille, France. noemie.jourde@ap-hm.fr.
¹⁰ Center for Cardiovascular Research and Nutrition C2VN, INSERM 1263, INRA 1260, Aix-Marseille University, Marseille, France. noemie.jourde@ap-hm.fr.

PMID: 30368731
DOI: 10.1007/s15010-018-1206-5

Abstract

Vascular access infection is a frequent complication in hemodialysis patients. We report the second case worldwide of a prosthetic hemodialysis vascular graft infection by Coxiella burnetii, with intense hypermetabolism on PET-CT, Q fever serology consistent with persistent infection, and positive C. burnetii DNA in the blood and removed vascular graft.

Keywords: Chronic fever; Coxiella burnetii; Hemodialysis; Q fever; Vascular graft infection.

Publication types

Case Reports

MeSH terms

Coxiella burnetii / isolation & purification*
DNA, Bacterial / blood
Female
France
Humans
Middle Aged
Positron Emission Tomography Computed Tomography
Prosthesis-Related Infections / diagnosis*
Prosthesis-Related Infections / microbiology
Q Fever / diagnosis*
Q Fever / microbiology
Renal Dialysis / adverse effects*
Treatment Outcome
Vascular Grafting / adverse effects*

Substances

DNA, Bacterial