[Q fever endocarditis: a case report]
| Autor: | Imen, Fradi, Mohamed Akram, Drissa, Mehdi, Cheour, Habiba, Drissa |
|---|---|
| Jazyk: | francouzština |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Heart Valve Prosthesis Implantation Ofloxacin Time Factors Mitral Valve Insufficiency Aortic Valve Stenosis Endocarditis Bacterial Anti-Bacterial Agents Treatment Outcome Aortic Valve Doxycycline Heart Valve Prosthesis Humans Mitral Valve Mitral Valve Stenosis Drug Therapy Combination Female Radiography Thoracic Enzyme Inhibitors Q Fever Echocardiography Transesophageal Follow-Up Studies Hydroxychloroquine |
| Zdroj: | La Tunisie medicale. 84(10) |
| ISSN: | 0041-4131 |
| Popis: | Do we bring back the observation of a patient aged of 42 years having a mitro-aortic valvulopathy who present since 3 months a level III dyspnea, a fever to 39 degrees C, a change of the general state and a splenomegaly. To the chest x-ray we note a pulmonary parenchymatous focus. Echocardiography puts in evidence a mitral illness to stenosis predominance and an aortic illness complicated of a graft bacterial with an abscess of the mitro-aortic trigone. Haemocultures were negative and the serology of the Rickettsia was positive. The diagnosis of infective endocarditis to Coxiella Burnetii is kept and is the patient put under Doxycycline 200 mg/j, Hydroxychloroquine 2 cp/j and Ofloxacine 400 mg/j. Will the two first antibiotics be pursued to the 18th month. The patient benefited, after 20 days of three antibiotics therapy, of a duplicate aortic and mitral replacement with simple following. |
| Databáze: | OpenAIRE |
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