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Chronic Q Fever in Alberta: A Case of Coxiella burnetii Mycotic Aneurysm and Concomitant Vertebral Osteomyelitis
Joint Authors
Stokes, William
Janvier, Jack
Vaughan, Stephen
Source
Canadian Journal of Infectious Diseases and Medical Microbiology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Chronic Q fever is a potentially life-threatening infection from the intracellular, Gram-negative Coxiella burnetii.
It presents most commonly as endocarditis or vascular infection in people with underlying cardiac or vascular disease.
We discuss a case of a 67-year-old male with Coxiella burnetii vascular infection of a perirenal abdominal aortic graft.
The patient had a history of an abdominal aortic aneurysm (AAA) repair 5 years earlier.
He presented with a 12 × 6 × 8 cm perirenal pseudoaneurysm and concomitant L1, L2, and L3 vertebral body discitis.
He underwent an open repair which revealed a grossly infected graft perioperatively.
Q fever serology revealed phase I serological IgG titer of 1 : 2048 and phase II 1 : 1024 consistent with chronic Q fever.
Polymerase chain reaction (PCR) on infected vascular tissue was positive for C.
burnetii.
The patient was started on doxycycline and hydroxychloroquine with good clinical response and decreasing serological titers.
Recognizing chronic Q fever is a difficult task as symptoms are nonspecific, exposure risk is difficult to ascertain, and diagnosis is hidden from conventional microbiological investigations.
Its recognition, however, is critical as C.
burnetii is inherently resistant to standard empiric therapies used in cardiovascular infections.
American Psychological Association (APA)
Stokes, William& Janvier, Jack& Vaughan, Stephen. 2016. Chronic Q Fever in Alberta: A Case of Coxiella burnetii Mycotic Aneurysm and Concomitant Vertebral Osteomyelitis. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100010
Modern Language Association (MLA)
Stokes, William…[et al.]. Chronic Q Fever in Alberta: A Case of Coxiella burnetii Mycotic Aneurysm and Concomitant Vertebral Osteomyelitis. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100010
American Medical Association (AMA)
Stokes, William& Janvier, Jack& Vaughan, Stephen. Chronic Q Fever in Alberta: A Case of Coxiella burnetii Mycotic Aneurysm and Concomitant Vertebral Osteomyelitis. Canadian Journal of Infectious Diseases and Medical Microbiology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100010
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100010