Sevil Alkan(Çanakkale On sekiz Mart Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Çanakkale)0000-0003-1944-2477
Taylan Önder(ÇANAKKALE ONSEKİZ MART ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ENFEKSİYON HASTALIKLARI VE KLİNİK MİKROBİYOLOJİ ANABİLİM DALI)0000-0003-0684-4047
Serpil Şahin(ÇANAKKALE ONSEKİZ MART ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KALP DAMAR CERRAHİSİ ANABİLİM DALI)0000-0001-8158-4594
Uğur Küçük(ÇANAKKALE ONSEKİZ MART ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, KARDİYOLOJİ ANABİLİM DALI)0000-0003-4669-7387
Servan Vurucu(ÇANAKKALE ONSEKİZ MART ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, ENFEKSİYON HASTALIKLARI VE KLİNİK MİKROBİYOLOJİ ANABİLİM DALI)0000-0001-8623-7639
Esra Gürbüz(SBÜ Van Eği̇ti̇m ve Araştırma Hastanesi̇, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji)0000-0002-3123-0963
In this study, it was aimed to review the cardiovascular complications of Q fever.
📌 3 Key Takeaways
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Objective & Hypothesis:Q fever is a widespread zoonosis that is brought on by the intracellular pathogen Coxiella burnetii.
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Key Findings & Data:Aortic aneurysm, endocarditis, vascular-graft infection, and chronic Q fever infections are usually linked to cardiovascular complications of C. burnetii infections.
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Conclusion & Impact:In this study, it was aimed to review the cardiovascular complications of Q fever.
Q fever is a widespread zoonosis that is brought on by the intracellular pathogen Coxiella burnetii. Aortic aneurysm, endocarditis, vascular-graft infection, and chronic Q fever infections are usually linked to cardiovascular complications of C. burnetii infections. In this study, it was aimed to review the cardiovascular complications of Q fever.
Özet
Q ateşi, hücre içi patojen olan Coxiella burnetii’nin neden olduğu yaygın bir zoonozdur. Q ateşine bağlı olarak endokardit, aort anevrizması, vasküler greft enfeksiyonu, miyokardit gibi birçok kardiyovasküler komplikasyonlar olduğu bildirilmiştir. Bu çalışmada Q ateşinin kardiyovasküler komplikasyonlarının gözden geçirilmesi amaçlanmıştır.
España PP, Uranga A, Cillóniz C, Torres A. Q Fever (Coxiella Burnetii). Semin Respir Crit Care Med. 2020;41(4):509-521. doi: 10.1055/s-0040-1710594.
Eldin C, Mélenotte C, Mediannikov O, Ghigo E, Million M, Edouard S, et al. From Q Fever to Coxiella burnetii Infection: a Paradigm Change. Clin Microbiol Rev. 2017;30(1):115-190. doi: 10.1128/CMR.00045-16.
Clark NJ, Soares Magalhães RJ. Airborne geographical dispersal of Q fever from livestock holdings to human communities: a systematic review and critical appraisal of evidence. BMC Infect Dis. 2018;18(1):218. doi: 10.1186/s12879-018-3135-4.
Ekici A, Gürbüz, E, Halidi AG, Ünlü AH, Aydemir S. Kene Isırığı Şikâyetiyle Hastaneye Başvuran Hastalardan Çıkarılan Kenelerde Coxiella burnetii ve Ehrlichia canis’in Moleküler Yöntemlerle Araştırılması. Commagene Journal of Biology. 2021; 5 (2): 199-203.
Samuel JE, Frazier ME, Mallavia LP. Correlation of plasmid type and disease caused by Coxiella burnetii. Infect Immun. 1985;49(3):775-779. doi: 10.1128/iai.49.3.775-779.1985.
Raoult D, Brouqui P, Marchou B, Gastaut JA. Acute and chronic Q fever in patients with cancer. Clin Infect Dis. 1992;14(1):127-130. doi: 10.1093/clinids/14.1.127.
Kanfer E, Farrag N, Price C, MacDonald D, Coleman J, Barrett AJ. Q fever following bone marrow transplantation. Bone Marrow Transplant. 1988;3(2):165-166.
Melenotte C, Protopopescu C, Million M, Edouard S, Carrieri MP, Eldin C, et al. Clinical Features and Complications of Coxiella burnetii Infections From the French National Reference Center for Q Fever. JAMA Netw Open. 2018;1(4):e181580. doi: 10.1001/jamanetworkopen.2018.1580.
Ergas D, Keysari A, Edelstein V, Sthoeger ZM. Acute Q fever in Israel: clinical and laboratory study of 100 hospitalized patients. Isr Med Assoc J. 2006;8(5):337-341.
Hartzell JD, Marrie TJ, Raoult D. Coxiella burnetii (Q Fever). In: Bennett JE, Dolin R, Blaser MJ, editors. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. Amsterdam: Elsevier; 2020. p. 2360–2367.
Brouqui P, Dupont HT, Drancourt M, Berland Y, Etienne J, Leport C, et al. Chronic Q fever. Ninety-two cases from France, including 27 cases without endocarditis. Arch Intern Med. 1993;153(5):642-648. doi: 10.1001/archinte.153.5.642.
McCaughey C, Murray LJ, McKenna JP, Coyle PV, O’Neill HJ, Wyatt DE, et al. Lack of association between serological evidence of past Coxiella burnetii infection and incident ischaemic heart disease: nested case-control study. BMC Infect Dis. 2005;5:61. doi: 10.1186/1471-2334-5-61.
Wegdam-Blans MC, Vainas T, van Sambeek MR, Cuypers PW, Tjhie HT, van Straten AH, et al. Vascular complications of Q-fever infections. Eur J Vasc Endovasc Surg. 2011;42(3):384-392. doi: 10.1016/j.ejvs.2011.04.013
Armstrong MR, McCarthy KL, Horvath RL. A contemporary 16-year review of Coxiella burnetii infective endocarditis in a tertiary cardiac center in Queensland, Australia. Infect Dis (Lond). 2018;50(7):531-538. doi: 10.1080/23744235.2018.1445279.
Karageorgou I, Kogerakis N, Labropoulou S, Hatzianastasiou S, Mentis A, Stavridis G, et al. Q Fever Endocarditis and a New Genotype of Coxiella burnetii, Greece. Emerg Infect Dis. 2020;26(10):2527-2529. doi: 10.3201/eid2610.191616.
Briggs BJ, Raoult D, Hijazi ZM, Edouard S, Angelakis E, Logan LK. Coxiella burnetii Endocarditis in a Child Caused by a New Genotype. Pediatr Infect Dis J. 2016;35(2):213-214. doi: 10.1097/INF.0000000000000970.
Yahav D, Kuznitz I, Reisfeld S, Eliakim-Raz N, Bishara J. Polymicrobial Q Fever and enterococcal aortic prosthetic valve endocarditis with aortic root abscess. Vector Borne Zoonotic Dis. 2015;15(5):326-328. doi: 10.1089/vbz.2015.1777.
Jalal Z, Duperril M, Séguéla PE, Melenotte C, Chabaneix J, Raoult D, Thambo JB. First Case of Q Fever Endocarditis Involving the Melody® Transcatheter Pulmonary Valve in an Afebrile Child. Pediatr Cardiol. 2018;39(1):195-197. doi: 10.1007/s00246-017-1723-5.
Sonsöz MR, Agüloğlu Bali E, Aydoğan M, Mercanoğlu F, Şimşek Yavuz S. Q fever endocarditis: is it always subacute or chronic? Turk Kardiyol Dern Ars. 2020;48(1):72-76. doi: 10.5543/tkda.2019.59153.
al-Hajjar S, Hussain Qadri SM, al-Sabban E, Jäger C. Coxiella burnetii endocarditis in a child. Pediatr Infect Dis J. 1997;16(9):911-913. doi: 10.1097/00006454-199709000-00020.
Faucon AL, Mainardi JL, Zamfir O, Gorka H, Bruneval P, Pruna A. Coxiella burnetii endocarditis on bioprosthetic aortic valve, with peripheral arterial embolism. Cardiovasc Pathol. 2018;34:38-39. doi: 10.1016/j.carpath.2018.02.001.
Griffin AT, Espinosa M, Nakamatsu R. Q fever endocarditis: an unusual presentation. Am J Med Sci. 2012;344(6):480-484. doi: 10.1097/MAJ.0b013e3182684979.
Buijs SB, Bleeker-Rovers CP, van Roeden SE, Kampschreur LM, Hoepelman AIM, Wever PC, et al. Still New Chronic Q Fever Cases Diagnosed 8 Years After a Large Q Fever Outbreak. Clin Infect Dis. 2021;73(8):1476-1483. doi: 10.1093/cid/ciab476.
Ilany J, Dresner J, Shemesh O, Rudensky B, Abraham AS. An unusual case of Q fever endocarditis. Cardiology. 1993;83(4):285-288. doi: 10.1159/000175982.
Fort S, Fraser AG, Fox KA. Extensive aortic valve ring abscess formation: a rare complication of Q fever endocarditis. Postgrad Med J. 1989;65(764):384-386. doi: 10.1136/pgmj.65.764.384.
Jaltotage B, Ali U, Dorai-Raj A, Rankin J, Sanfilippo F, Dwivedi G. Q Fever Endocarditis: A Review of Local and all Reported Cases in the Literature. Heart Lung Circ. 2021;30(10):1509-1515. doi: 10.1016/j.hlc.2021.04.022.
Fenollar F, Fournier PE, Raoult D. Molecular detection of Coxiella burnetii in the sera of patients with Q fever endocarditis or vascular infection. J Clin Microbiol. 2004;42(11):4919–4924.
de Lange MMA, Gijsen LEV, Wielders CCH, van der Hoek W, Scheepmaker A, Schneeberger PM. Should Acute Q-Fever Patients be Screened for Valvulopathy to Prevent Endocarditis? Clin Infect Dis. 2018;67(3):360-366. doi: 10.1093/cid/ciy128.
Allan-Blitz LT, Sakona A, Wallace WD, Klausner JD. Coxiella burnetii Endocarditis and Meningitis, California, USA, 2017. Emerg Infect Dis. 2018;24(8):1555–1557. doi: 10.3201/eid2408.180249.
Levy P, Raoult D, Razongles JJ. Q-fever and autoimmunity. Eur J Epidemiol. 1989;5(4):447-453. doi: 10.1007/BF00140139.
Million M, Walter G, Bardin N, Camoin L, Giorgi R, Bongrand P, et al. Immunoglobulin G anticardiolipin antibodies and progression to Q fever endocarditis. Clin Infect Dis. 2013;57(1):57-64. doi: 10.1093/cid/cit191.
Angelakis E, Johani S, Ahsan A, Memish Z, Raoult D. Q fever endocarditis and new Coxiella burnetii genotype, Saudi Arabia. Emerg Infect Dis. 2014;20(4):726-728. doi: 10.3201/eid2004.131603.
Carrascosa M, Velasaco F, Izquierdo R, Salcines-Caviedes JR, Gómez Amigo V, Canga-Villegas A. Acute Q fever myocarditis: thinking about a life-threatening but potentially curable condition. Int J Cardiol. 2012;158:e17–e19.
Angelini A, Calzolari V, Calabrese F, Boffa GM, Maddalena F, Chioin R, Thiene G. Myocarditis mimicking acute myocardial infarction: role of endomyocardial biopsy in the differential diagnosis. Heart. 2000;84(3):245-250. doi: 10.1136/heart.84.3.245.
Vogiatzis I, Dimoglou G, Sachpekidis V. Q fever myocarditis. Hippokratia. 2008;12(1):46-49.
Pfammatter JP, Paul T, Flik J, Drescher J, Kallfelz HC. Q-Fieber-assoziierte Myokarditis bei einem 14jährigen Jungen [Q-fever associated myocarditis in a 14-year-old boy]. Z Kardiol. 1995;84(11):947-950.
Fournier PE, Etienne J, Harle JR, Habib G, Raoult D. Myocarditis, a rare but severe manifestation of Q fever: report of 8 cases and review of the literature. Clin Infect Dis. 2001;32(10):1440-1447. doi: 10.1086/320159.
Hammami R, Bahloul A, Charfeddine S, Feki W, Ayed NB, Abid L, et al. Q fever presenting as myocarditis. IDCases. 2021;23:e01056. doi: 10.1016/j.idcr.2021.e01056.
Jacobson A, Sutthiwan P. Myocarditis: A rare manifestation of acute Q fever infection. J Cardiol Cases. 2019;20(2):45-48. doi: 10.1016/j.jccase.2019.03.012.
Dupuis G, Péter O, Pedroni D, Petite J. Aspects cliniques observés lors d’une épidémie de 415 cas de fièvre Q [Clinical aspects observed during an epidemic of 415 cases of Q fever]. Schweiz Med Wochenschr. 1985;115(24):814-818.
Karhof S, van Roeden SE, Oosterheert JJ, Bleeker-Rovers CP, Renders NHM, de Borst GJ, et al. Primary and secondary arterial fistulas during chronic Q fever. J Vasc Surg. 2018;68(6):1906-1913.e1. doi: 10.1016/j.jvs.2018.01.044.
Buijs SB, Stuart SK, Oosterheert JJ, Karhof S, Hoepelman AIM, Renders NHM, et al. Long-term serological follow-up after primary Coxiella burnetii infection in patients with vascular risk factors for chronic Q fever. Eur J Clin Microbiol Infect Dis. 2021;40(7):1569-1572. doi: 10.1007/s10096-021-04179-5.
Broos PP, Hagenaars JC, Kampschreur LM, Wever PC, Bleeker-Rovers CP, Koning OH, et al. Vascular complications and surgical interventions after world’s largest Q fever outbreak. J Vasc Surg. 2015;62(5):1273-1280. doi: 10.1016/j.jvs.2015.06.217.
Million M, Thuny F, Richet H, Raoult D. Long-term outcome of Q fever endocarditis: a 26-year personal survey. Lancet Infect Dis. 2010;10(8):527-535. doi: 10.1016/S1473-3099(10)70135-3.
Stokes W, Janvier J, Vaughan S. Chronic Q Fever in Alberta: A Case of Coxiella burnetii Mycotic Aneurysm and Concomitant Vertebral Osteomyelitis. Can J Infect Dis Med Microbiol. 2016;2016:7456157. doi: 10.1155/2016/7456157.
Dvorak S, Bizzini A. Streptococcus anginosus and Coxiella burnetii vascular graft co-infection. IDCases. 2020;19:e00697. doi: 10.1016/j.idcr.2020.e00697.
Bendermacher BL, Peppelenbosch AG, Daemen JW, Oude Lashof AM, Jacobs MJ. Q fever (Coxiella burnetii) causing an infected thoracoabdominal aortic aneurysm. J Vasc Surg. 2011;53(5):1402-1404. doi: 10.1016/j.jvs.2010.11.102.
Botelho-Nevers E, Fournier PE, Richet H, Fenollar F, Lepidi H, Foucault C, et al. Coxiella burnetii infection of aortic aneurysms or vascular grafts: report of 30 new cases and evaluation of outcome. Eur J Clin Microbiol Infect Dis. 2007;26(9):635-640. doi: 10.1007/s10096-007-0357-6.
Li JS, Sexton DJ, Mick N, et al. Proposed modifications to the duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis. 2000;30(4):633–638.
Raoult D. Chronic Q fever: expert opinion versus literature analysis and consensus. J Infect. 2012;65(2):102–108.
Wegdam-Blans MC, Kampschreur LM, Delsing CE, et al. Chronic Q fever: review of the literature and a proposal of new diagnostic criteria. J Infect. 2012;64(3):247–259.
Grisoli D, Million M, Edouard S, Thuny F, Lepidi H, Collart F, et al. Latent Q fever endocarditis in patients undergoing routine valve surgery. J Heart Valve Dis. 2014;23(6):735–743.
Levy PY, Drancourt M, Etienne J, Auvergnat JC, Beytout J, Sainty JM, et al. Comparison of different antibiotic regimens for therapy of 32 cases of Q fever endocarditis. Antimicrob Agents Chemother. 1991;35(3):533-537. doi: 10.1128/AAC.35.3.533.
Deyell MW, Chiu B, Ross DB, Alvarez N. Q fever endocarditis: a case report and review of the literature. Can J Cardiol. 2006;22(9):781-785. doi: 10.1016/s0828-282x(06)70295-1.
Maor Y, Sternik L, Orlov B, Rahav G, Keller N, Raanani E, Kogan A. Coxiella burnetii Endocarditis and Aortic Vascular Graft Infection: An Underrecognized Disease. Ann Thorac Surg. 2016;101(1):141-145. doi: 10.1016/j.athoracsur.2015.06.075.
Li JS, Sexton DJ, Mick N, et al. Proposed modifications to the duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis. 2000;30(4):633–638.