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Published on: May 10, 2011
Q fever endocarditis in India: A report of two cases
Rayvathy Balasubramanian1, Pierre-Edouard Fournier2, Panneer Selvam Ganesan3
1Dept of Microbiology, Dr. ALM PG Institute of Basic Medical Sciences, University of Madras, Taramani Campus, Chennai, Tamil Nadu, India.
Abstract:
Q fever is a zoonotic disease caused by the obligate intracellular bacterium Coxiella burnetii. Infective endocarditis is the most common form of chronic Q fever. Diagnosis of Q fever is difficult, as there are no pathognomonic symptoms. Methods of isolation of the organism in culture are tedious, hence serological and molecular techniques remain the mainstay of diagnosis. We report two cases of Q fever endocarditis diagnosed by IFA and real-time PCR.
Insights
Q fever endocarditis, a severe Coxiella burnetii infection, poses diagnostic challenges. This report highlights the successful use of immunofluorescence assay (IFA) and real-time PCR for diagnosing two difficult Q fever endocarditis cases.
Area of Science:
- Infectious Diseases
- Bacteriology
- Medical Diagnostics
Background:
- Q fever is a zoonotic illness caused by Coxiella burnetii, an obligate intracellular bacterium.
- Infective endocarditis represents the most frequent manifestation of chronic Q fever.
- Diagnosing Q fever is challenging due to the absence of pathognomonic symptoms.
Observation:
- Traditional culture methods for Coxiella burnetii are laborious and time-consuming.
- Serological and molecular diagnostic techniques are currently the primary methods for Q fever diagnosis.
- Two cases of Q fever endocarditis were identified.
Findings:
- Immunofluorescence assay (IFA) was employed for serological diagnosis.
- Real-time polymerase chain reaction (PCR) was utilized for molecular detection.
- Both IFA and real-time PCR proved effective in diagnosing the reported Q fever endocarditis cases.
Implications:
- The study underscores the utility of IFA and real-time PCR in diagnosing challenging Q fever endocarditis cases.
- These diagnostic methods offer reliable alternatives to traditional culture techniques.
- Improved diagnostic accuracy can lead to timely treatment and better patient outcomes for Q fever endocarditis.
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