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  • Title: [Endocarditis caused by Coxiella burnetii in aortic prosthesis. Presentation of a case with a fatal course].
    Author: Martínez Sande JL, Casariego Rosón JR, Cimadevilla Suárez R, Moreno Torrico A, Alonso Orcajo N, Rodríguez Llorián A.
    Journal: Rev Esp Cardiol; 1990 Feb; 43(2):127-9. PubMed ID: 2326533.
    Abstract:
    A case of endocarditis caused by Coxiella burnetii in a patient with an aortic Starr-Edwards prosthesis is described. The diagnosis was made by detecting high titres of antibody against Coxiella burnetii phase I antigens. After 15 weeks of chemotherapy with tetracycline and cotrimoxazole, aortic prosthetic valve replacement was carried out because of haemodynamic deterioration and he died 4 days later. The histologic picture of the excised valve was consistent with endocarditis. Coxiella burnetii should be considered in the differential diagnosis of culture-negative endocarditis in our country, especially when the patient has not receiving antibiotic treatment in the last 2 weeks.
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