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KMID : 0984720090410030199
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Infection and Chemotherapy
2009 Volume.41 No. 3 p.199 ~ p.204
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Two Cases of Q Fever Endocarditis
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Moon Soo-Youn
Choi Young-Sil
Park Mi-Yeoun
Lee Jung-A
Chung Mi-Kyung
Chung Hye-Suk
Jung Doo-Ryoun
Song Jae-Hoon
Peck Kyong-Ran
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Abstract
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Q fever is a zoonosis caused by Coxiella burnetii, presenting as acute and chronic illness and it has been reported worldwide. Acute Q fever is usually asymptomatic or mild and self-limiting, but infective endocarditis is one of the most serious complications of chronic Q fever and can be fatal. Known risk factors for Q fever endocarditis are valvular heart disease, immunocompromised hosts, and pregnancy. There have been some reports on Q fever in Korea but there exists no report on Q fever endocarditis. We have experienced 2 cases of Q fever with underlying valvular heart disease; both patients came to the hospital for evaluation of prolonged fever. Although Q fever and Q fever endocarditis are rare in Korea, Q fever endocarditis should be considered in the differential diagnosis of patient with infective endocarditis when causative microorganism cannot be identified.
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KEYWORD
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Q fever, Coxiella burnetii, Infective endocarditis
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