Chronic Q fever endocarditis. Issue 6 (June 1980)

• Record Type: Journal Article
• Authors: Varma, M P; Adgey, A A; Connolly, J H
• Is Part Of: Heart. Volume 43:Issue 6(1980)
• Page Start: 695
• Page End: 699
• Publication Date: 1980-06
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.43.6.695
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Eight patients with chronic Q fever endocarditis were treated with tetracycline for up to 40 months. In addition, five of these patients received co-trimoxazole. Six patients had prosthetic valves. Two patients who had Q fever endocarditis on their native valves required valve replacement because of haemodynamic difficulties: in only one did the Q fever endocarditis contribute to the haemodynamic difficulty. One patient died. It is suggested that medical treatment is continued until clinically and haematologically there is no evidence of endocarditis and the Q fever phase 1 antibody titre is less than 200. No recurrence of Q fever endocarditis has been detected in three of our patients who have now stopped treatment.