Endocarditis Caused by Coxiella burnetii: A Case Report in Western Iran

Authors

  • Shahla Afrasiabian Zoonoses Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Saber Esmaeili Department of Epidemiology and Biostatics, Research Centre for Emerging and Reemerging Infectious Dis¬eases, Pasteur Institute of Iran, Tehran, Iran
  • Katayon Hajibagheri Department of Infectious Diseases, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanan¬daj, Iran
  • Nooshin Hadizadeh Department of Cardiovascular Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Gohar Lotfi Department of Infectious Diseases, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanan¬daj, Iran
  • Arshad Veysi Zoonoses Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

DOI:

https://doi.org/10.18502/jad.v18i1.15674

Keywords:

Q fever; Coxiella burnetii; Endocarditis; Kurdistan; Iran

Abstract

Background: Q fever is a contagious zoonotic disease which is caused by a gram-negative and intracellular Cocco­bacillus known as Coxiella burnetii ticks play a role in its transmission. Endocarditis is the most common consequence of chronic Q fever.

Methods: Here we report a case of endocarditis caused by Q fever. The patient is a 67-year-old, and she had coronary artery bypass graft (CABG) and aortic valve replacement surgery.

Results: The result of echocardiography showed a suspicious mass (Vegetation) on the implanted valve. Based on la­boratory and clinical assessments, endocarditis caused by C. burnetii was the final diagnosis.

Conclusion: Q fever is a tick-transmitted pathogen that has been known as an important cause of culture-negative en­docarditis in Iran, and more attention needs to be paid to this disease in Iran by the healthcare system and physicians.

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Published

2024-06-08

Issue

Volume (18) issue (1)

Section

Articles