Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient
Chronic Q fever caused by Coxiella burnetii is uncommon in the United States and is most often associated with infective endocarditis. We present a 52-year-old woman with a history of aortic valve replacement and rheumatoid arthritis treated with Etanercept with chronic Q fever manifesting as prosth...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-01-01
|
| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250915000244 |
| _version_ | 1819011363197943808 |
|---|---|
| author | Shailee Y. Shah Christopher Kovacs Carmela D. Tan Gosta Pettersson Nabin K. Shrestha Larry Lutwick Steven M. Gordon |
| author_facet | Shailee Y. Shah Christopher Kovacs Carmela D. Tan Gosta Pettersson Nabin K. Shrestha Larry Lutwick Steven M. Gordon |
| author_sort | Shailee Y. Shah |
| collection | DOAJ |
| description | Chronic Q fever caused by Coxiella burnetii is uncommon in the United States and is most often associated with infective endocarditis. We present a 52-year-old woman with a history of aortic valve replacement and rheumatoid arthritis treated with Etanercept with chronic Q fever manifesting as prosthetic valve infective endocarditis. Explanted valve tissue showed organisms confirmed to be C. burnetii by PCR (polymerase chain reaction) sequencing. She subsequently reported consumption of unpasteurized cow milk which was the likely source of C. burnetii. She continues to do well 6 months after valve replacement on oral doxycycline and hydroxychloroquine. |
| first_indexed | 2024-12-21T01:26:58Z |
| format | Article |
| id | doaj.art-189f7fa95cfd45018ff78b59edb3e592 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-21T01:26:58Z |
| publishDate | 2015-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-189f7fa95cfd45018ff78b59edb3e5922022-12-21T19:20:28ZengElsevierIDCases2214-25092015-01-0124949610.1016/j.idcr.2015.09.002Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patientShailee Y. Shah0Christopher Kovacs1Carmela D. Tan2Gosta Pettersson3Nabin K. Shrestha4Larry Lutwick5Steven M. Gordon6Department of Infectious Diseases, Cleveland Clinic, OH, United StatesDepartment of Infectious Diseases, Cleveland Clinic, OH, United StatesDepartment of Pathology, Cleveland Clinic, OH, United StatesDepartment of Cardiovascular Surgery, Cleveland Clinic, OH, United StatesDepartment of Infectious Diseases, Cleveland Clinic, OH, United StatesDepartment of Infectious Diseases, Western Michigan University, Kalamazoo, MI, United StatesDepartment of Infectious Diseases, Cleveland Clinic, OH, United StatesChronic Q fever caused by Coxiella burnetii is uncommon in the United States and is most often associated with infective endocarditis. We present a 52-year-old woman with a history of aortic valve replacement and rheumatoid arthritis treated with Etanercept with chronic Q fever manifesting as prosthetic valve infective endocarditis. Explanted valve tissue showed organisms confirmed to be C. burnetii by PCR (polymerase chain reaction) sequencing. She subsequently reported consumption of unpasteurized cow milk which was the likely source of C. burnetii. She continues to do well 6 months after valve replacement on oral doxycycline and hydroxychloroquine.http://www.sciencedirect.com/science/article/pii/S2214250915000244Coxiella burnetii endocarditisQ fever endocarditisEndocarditis and EtanerceptUnpasteurized milk infection |
| spellingShingle | Shailee Y. Shah Christopher Kovacs Carmela D. Tan Gosta Pettersson Nabin K. Shrestha Larry Lutwick Steven M. Gordon Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient IDCases Coxiella burnetii endocarditis Q fever endocarditis Endocarditis and Etanercept Unpasteurized milk infection |
| title | Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient |
| title_full | Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient |
| title_fullStr | Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient |
| title_full_unstemmed | Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient |
| title_short | Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient |
| title_sort | delayed diagnosis of q fever endocarditis in a rheumatoid arthritis patient |
| topic | Coxiella burnetii endocarditis Q fever endocarditis Endocarditis and Etanercept Unpasteurized milk infection |
| url | http://www.sciencedirect.com/science/article/pii/S2214250915000244 |
| work_keys_str_mv | AT shaileeyshah delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient AT christopherkovacs delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient AT carmeladtan delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient AT gostapettersson delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient AT nabinkshrestha delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient AT larrylutwick delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient AT stevenmgordon delayeddiagnosisofqfeverendocarditisinarheumatoidarthritispatient |