Chronic Q Fever with Vascular Involvement: Progressive Abdominal Pain in a Patient with Aortic Aneurysm Repair in the United States
Joint Authors
Wiley, Zanthia
Reddy, Sujan
Jacobs Slifka, Kara M.
Brandon, David C.
Jernigan, John
Kersh, Gilbert J.
Armstrong, Paige A.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Q fever is a zoonotic bacterial infection caused by Coxiella burnetii.
Chronic Q fever comprises less than five percent of all Q fever cases and, of those, endocarditis is the most common presentation (up to 78% of cases), followed by vascular involvement.
Risk factors for chronic Q fever with vascular involvement include previous vascular surgery, preexisting valvular defects, aneurysms, and vascular prostheses.
The most common symptoms of chronic Q fever with vascular involvement are nonspecific, including weight loss, fatigue, and abdominal pain.
Criteria for diagnosis of chronic Q fever include clinical evidence of infection and laboratory criteria (antibody detection, detection of Coxiella burnetii DNA, or growth in culture).
Treatment of chronic Q fever with vascular involvement includes a prolonged course of doxycycline and hydroxychloroquine (≥18 months) as well as early surgical intervention, which has been shown to improve survival.
Mortality is high in untreated chronic Q fever.
We report a case of chronic Q fever with vascular involvement in a 77-year-old man with prior infrarenal aortic aneurysm repair, who lived near a livestock farm in the southeastern United States.
American Psychological Association (APA)
Wiley, Zanthia& Reddy, Sujan& Jacobs Slifka, Kara M.& Brandon, David C.& Jernigan, John& Kersh, Gilbert J.…[et al.]. 2019. Chronic Q Fever with Vascular Involvement: Progressive Abdominal Pain in a Patient with Aortic Aneurysm Repair in the United States. Case Reports in Infectious Diseases،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1137053
Modern Language Association (MLA)
Wiley, Zanthia…[et al.]. Chronic Q Fever with Vascular Involvement: Progressive Abdominal Pain in a Patient with Aortic Aneurysm Repair in the United States. Case Reports in Infectious Diseases No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1137053
American Medical Association (AMA)
Wiley, Zanthia& Reddy, Sujan& Jacobs Slifka, Kara M.& Brandon, David C.& Jernigan, John& Kersh, Gilbert J.…[et al.]. Chronic Q Fever with Vascular Involvement: Progressive Abdominal Pain in a Patient with Aortic Aneurysm Repair in the United States. Case Reports in Infectious Diseases. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1137053
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137053