A Case of Endocarditis due to Coxiella burnetii Coxiella burnetiiye Bagli Bir Endokardit Olgusu

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Mediterranean Journal of Infection, Microbes and Antimicrobials, vol.11, 2022 (Scopus) identifier identifier


A 36-year-old male patient, who was an agricultural farmer and had a diagnosis of bicuspid aortic valve and coarctation, was admitted with symptoms of fever, fatigue, and shortness of breath that lasted for a month, in March 2017. Examination revealed dyspnea and bilateral rales and rhonchi in lung auscultation. A 3/6 systolic murmur was heard in the mesocardiac focus. The laboratory tests showed a white blood cell count of 15.14×103/?l, erythrocyte sedimentation rate of 36 mm/h, and C-reactive protein of 26 mg/l. An echocardiogram showed mobile vegetation (30×10 mm)on the aortic valve and severe aortic and tricuspid valve insufficiency. All blood cultures that are taken from the patient with the diagnosis ofinfective endocarditis were negative and C. burnetii phase I IgG antibody was positive at 1/32768 titer. As far as we know, herein, we present a caseof endocarditis due to C. burnetii, which is the third case that is reported in Turkey.