Document Detail


Coxiella burnetii pericarditis: report of 15 cases and review.
MedLine Citation:
PMID:  10476748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Q fever is characterized by its clinical polymorphism, and pericarditis associated with Q fever has occasionally been described. Herein we report 15 cases of Coxiella burnetii pericarditis, 9 from our data bank and 6 encountered within the past 12 months. Three patients presented with life-threatening tamponade. We compare our cases with the 18 previously reported and with 60 Q fever-matched controls at our center. This study showed that Q fever pericarditis can present as acute as well as chronic disease; we describe relapse after 6 months in association with a serological profile compatible with the chronic form of disease (phase I C. burnetii IgG titer of > or = 800). Discriminant factors among patients and controls are age of > 52 years (adjusted odds ratio [OR], 5.66), the occurrence of general symptoms such as arthralgias or myalgias (adjusted OR, 6.54), and a normal erythrocyte sedimentation rate (adjusted OR, 16.37). No specific symptoms or underlying cardiac predispositions are observed.
Authors:
P Y Levy; P Carrieri; D Raoult
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  29     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-12-02     Completed Date:  1999-12-02     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  393-7     Citation Subset:  IM    
Affiliation:
Unité des Rickettsies, Faculté de Médecine, and INSERM U379, Université de la Méditerranée, Marseilles, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Coxiella burnetii / genetics,  growth & development,  immunology,  isolation & purification
Female
Humans
Male
Middle Aged
Pericarditis / complications*,  diagnosis,  immunology,  physiopathology
Q Fever / complications*,  diagnosis,  immunology,  physiopathology

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