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  • Title: Coxiella burnetii infection of left atrial thrombus mimicking an atrial myxoma.
    Author: Fernández-Ruiz M, López-Medrano F, Alonso-Navas F, Aguado JM.
    Journal: Int J Infect Dis; 2010 Sep; 14 Suppl 3():e319-21. PubMed ID: 20932487.
    Abstract:
    Infection of intracardiac thrombi is extremely unusual. Coxiella burnetii is a well-recognized etiologic agent of negative-blood culture endocarditis and vascular graft infection. Herein we describe the first reported case, to our knowledge, of C. burnetii infection of a large left-sided intracardiac thrombus that was initially misdiagnosed as an atrial myxoma. Diagnosis was confirmed by direct immunofluorescence assay, electron microscopy, and C. burnetii-specific polymerase chain reaction analysis performed on tissue sections of the thrombus.
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