Coxiella burnetii Pericarditis: Report of 15 Cases and Review
Identifieur interne : 000391 ( France/Analysis ); précédent : 000390; suivant : 000392Coxiella burnetii Pericarditis: Report of 15 Cases and Review
Auteurs : Pierre-Yves Levy [France] ; Patrizia Carrieri [France] ; Didier Raoult [France]Source :
- Clinical Infectious Diseases [ 1058-4838 ] ; 1999.
Abstract
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 lifethreatening 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 ⩾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.
Url:
DOI: 10.1086/520221
Affiliations:
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ISTEX:A46BA52476EA2B80FF17D224117888D91C37E246Le document en format XML
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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 lifethreatening 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 ⩾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.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement><orgName><li>Université de la Méditerranée</li></orgName></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Levy, Pierre Yves" sort="Levy, Pierre Yves" uniqKey="Levy P" first="Pierre-Yves" last="Levy">Pierre-Yves Levy</name></region><name sortKey="Carrieri, Patrizia" sort="Carrieri, Patrizia" uniqKey="Carrieri P" first="Patrizia" last="Carrieri">Patrizia Carrieri</name><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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