[Q-fever - a rare cause for myocarditis]

Area of Science:

• Cardiology
• Infectious Diseases

Background:

• Myocarditis presents with chest pain, chills, and elevated cardiac markers.
• Coronary angiography ruled out atherosclerosis as a cause.

Purpose of the Study:

• To highlight Q fever as a potential cause of myocarditis.
• To emphasize the importance of early diagnosis and treatment.

Main Methods:

• Cardiac MRI confirmed myocarditis.
• Serologic testing diagnosed Q fever (Coxiella burnetii).

Main Results:

• Patient presented with symptoms of myocarditis and elevated inflammatory markers.
• Q fever diagnosis was confirmed serologically.
• Antibiotic treatment with azithromycin led to recovery and prevented chronic infection.

Conclusions:

• Myocarditis is a rare but critical manifestation of Q fever.
• Prompt serologic evaluation and antibiotic therapy are essential for managing Q fever myocarditis.
• Early treatment prevents long-term cardiac damage and chronic infection.