Difficulties in the diagnosis and management of a US servicemember presenting with possible chronic Q fever

被引:14
作者
Ake, Julie A. [1 ]
Massung, Robert F. [2 ]
Whitman, Timothy J. [3 ]
Gleeson, Todd D. [3 ]
机构
[1] Walter Reed Army Med Ctr, Infect Dis Serv, Washington, DC 20307 USA
[2] Ctr Dis Control & Prevent, Rickettsial Zoonoses Branch, Div Viral & Rickettsial Dis, Natl Ctr Zoonot Vector Borne & Enter Dis, Atlanta, GA 30333 USA
[3] Natl Naval Med Ctr, Div Infect Dis, Bethesda, MD 20889 USA
关键词
Q fever; Endocarditis; Mitral regurgitation; Coxiella burnetii; FOLLOW-UP; ENDOCARDITIS; MILITARY; FATIGUE; IRAQ;
D O I
10.1016/j.jinf.2009.09.010
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A 34 year old corpsman developed acute Q fever upon return from Iraq. Subsequent testing demonstrated trace mitral regurgitation and widely discrepant serologic testing results between commercial and reference laboratories. We discuss the dilemma of isolated minor echocardiographic abnormalities and propose caution in the interpretation of Q fever serologic tests. Published by Elsevier Ltd on behalf of The British Infection Society.
引用
收藏
页码:175 / 177
页数:3
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