A Case of Silent Q Fever Endocarditis.
Q fever endocarditis is a rare, culture negative endocarditis caused by Coxiella burnetii, a spore-forming gram negative coccobacillus. Presenting symptoms can be very non-specific; thus, diagnosis may be delayed. We present a case of a 65-year-old male patient with history of aortic aneurysm who complained of chronic fatigue. He was found to have aortic valve vegetation on routine echocardiography. Q fever endocarditis was diagnosed based on elevated Q fever serology; there was absence of fever. This case illustrated a rare, under-recognized and atypical manifestation of Q fever endocarditis. We would like to encourage physicians of rural states like South Dakota to remain vigilant when it comes to screening for the suspected cases of Q fever, specifically in cases of unexplained fatigue and valvulopathy.
Published In/Presented At
Shaikh, K., Travers, H., Anuwatworn, A., Potu, K., Pownell, B., Stys, M., Stys, A., & Kumar, A. (2016). A Case of Silent Q Fever Endocarditis. South Dakota medicine : the journal of the South Dakota State Medical Association, 69(12), 550–551.
Medicine and Health Sciences
Department of Medicine, Cardiology Division