烧伤梭菌引起的心内膜炎：伊朗西部的病例报告

Pub Date : 2024-06-08 DOI:10.18502/jad.v18i1.15674

S. Afrasiabian, S. Esmaeili, K. Hajibagheri, Nooshin Hadizadeh, Gohar Lotfi, A. Veysi

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引用次数: 0

摘要

背景：Q 热是一种传染性人畜共患病，由一种名为烧伤克氏球菌的革兰氏阴性细胞内球菌引起，蜱虫在传播过程中起了一定作用。心内膜炎是慢性 Q 热最常见的后果。方法：我们在此报告一例由 Q 热引起的心内膜炎病例。患者 67 岁，曾做过冠状动脉旁路移植术（CABG）和主动脉瓣置换手术。手术结果超声心动图结果显示植入瓣膜上有可疑肿块（植被）。根据实验室和临床评估，最终诊断为烧伤梭菌引起的心内膜炎。结论Q热是一种蜱传播的病原体，是伊朗培养阴性心内膜炎的重要病因，伊朗的医疗系统和医生需要更加关注这种疾病。

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

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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