Q Fever Endocarditis in Northeast Iran

Ali Akbar Heydari; Ehsan Mostafavi; Masoumeh Heidari; Mina Latifian; Saber Esmaeili

doi:10.1155/2021/5519164

Q Fever Endocarditis in Northeast Iran

Case Rep Infect Dis. 2021 May 28:2021:5519164. doi: 10.1155/2021/5519164. eCollection 2021.

Authors

Ali Akbar Heydari¹, Ehsan Mostafavi^{2

3}, Masoumeh Heidari¹, Mina Latifian^{2

3}, Saber Esmaeili^{2

3}

Affiliations

¹ Research Center for Infection Control & Hand Hygiene, Mashhad University of Medical Sciences, Mashhad, Iran.
² Department of Epidemiology and Biostatics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.
³ National Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Akanlu,Kabudar-Ahang, Hamadan, Iran.

Abstract

This report presents a case of chronic Q fever endocarditis. A 60-year-old male farmer and rancher was admitted to the hospital with symptoms of weight loss, fever, severe sweating, weakness, and anorexia. PCR was negative for C. burnetii in the blood sample, but phase I and II IgG antibodies against C. burnetii were positive (1 : 16384 and 1 : 2048, respectively) by the indirect immunofluorescent assay (IFA). According to the adjusted Duke criteria, Q fever endocarditis was confirmed, and the patient was successfully treated with doxycycline and hydroxychloroquine.

Publication types

Case Reports