Endocarditis Caused by Coxiella burnetii: A Case Report in Western Iran
-
Shahla Afrasiabian
,
Saber Esmaeili
,
Katayon Hajibagheri
,
Nooshin Hadizadeh
,
Gohar Lotfi
,
Arshad Veysi
Abstract
Background: Q fever is a contagious zoonotic disease which is caused by a gram-negative and an intracellular coccobacillus known as Coxiella burnetii that ticks play 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 needed to be paid to this disease in Iran by the healthcare system and physicians.
2. Angelakis E, Raoult D (2010) Q fever. Vet Microbiol. 140(3-4): 297−309.
3. Anderson A, Bijlmer H, Fournier PE, Graves S, Hartzell J, Kersh GJ, Limonard G, Marrie TJ, Massung RF, McQuiston JH (2013) Diagnosis and management of Q fever-United States, 2013: recom¬men¬dations from CDC and the Q Fever Working Group. Morb Mortal Wkly Rep Recomm Reports. 62(3): 1−29.
4. Angelakis E, Raoult D (2011) Emergence of Q fever. Iran J Public Health. 40(3): 1−18.
5. Madariaga MG, Rezai K, Trenholme GM, Weinstein RA (2003) Q fever: a bio¬log-ical weapon in your backyard. Lan¬cet Infect Dis. 3(11): 709−721.
6. Raoult D (2012) Chronic Q fever: expert opinion versus literature analysis and consensus. J Infect. 65(2): 102−108.
7. Lepidi H, Houpikian P, Liang Z, Raoult D (2003) Cardiac valves in patients with Q fever endocarditis: microbiological, mo¬lecular, and histologic studies. J In-fect Dis. 187(7): 1097−1106.
8. Mostafavi E, Rastad H, Khalili M (2012) Q fever: an emerging public health con-cern in Iran. Asian J Epidemiol. 5(3): 66−74.
9. Mohabbati Mobarez A, Bagheri Amiri F, Esmaeili S (2017) Seroprevalence of Q fever among human and animal in Iran; A systematic review and meta-analysis. PLoS Negl Trop Dis. 11(4): E0005521.
10. Moradnejad P, Esmaeili S, Maleki M, Sadeghpour A, Kamali M, Rohani M, Ghasemi A, Bagheri Amiri F, Pasha HR, Boudagh S (2019) Q fever endocarditis in iran. Sci Rep. 9(1): 1−7.
11. Esmaeili S, Pourhossein B, Gouya MM, Amiri FB, Mostafavi E (2014) Seroepi-demiological survey of Q fever and bru¬cellosis in Kurdistan Province, western Iran. Vector-Borne Zoonotic Dis. 14(1): 41−45.
12. Mohabati Mobarez A, Khalili M, Mosta-favi E, Esmaeili S (2021) Molecular de-tection of Coxiella burnetii infection in aborted samples of domestic ruminants in Iran. PLoS One. 16(4): E0250116.
13. Esmaeili S, Mohabati Mobarez A, Khalili M, Mostafavi E, Moradnejad P (2019) Molecular prevalence of Coxiella bur-netii in milk in Iran: a systematic re¬view and meta-analysis. Trop Anim Health Prod. 51: 1345−1355.
14. Lang GH (1990) Coxiellosis (Q fever) in animals. Q fever. 1: 23-48.
15. Esmaeili S, Latifian M, Mahmoudi A, Ghasemi A, Mohammadi A, Mordadi A, Ziapour SP, Naddaf SR, Mostafavi E (2023) Molecular investigation of Cox¬iella burnetii and Francisella tularensis infection in ticks in northern, western, and northwestern Iran. PLoS One. 18 (8): E0289567.
16. Rahravani M, Moravedji M, Mostafavi E, Mohammadi M, Seyfi H, Baseri N, Mozoun MM, Latifian M, Esmaeili S (2022) The epidemiological survey of Coxiella burnetii in small ruminants and their ticks in western Iran. BMC Vet Res. 18(1): 292.
| Files | ||
| Issue | Vol 18 No 1 (2024) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jad.v18i1.15674 | |
| Keywords | ||
| Q fever Coxiella burnetii Endocarditis Iran | ||
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