Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia

Aortitis is a life-threatening, manifestation of chronic Q fever. We report a series of 5 patients with Q fever aortitis who have presented to our hospital in tropical Australia since 2019. All diagnoses were confirmed with polymerase chain reaction (PCR) testing of aortic tissue. Only one had a pre...

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Autores principales: Price, Cody, Smith, Simon, Stewart, James, Palesy, Tom, Corbitt, Matthew, Galappaththy, Charith, Hanson, Josh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651697/
https://www.ncbi.nlm.nih.gov/pubmed/37882919
http://dx.doi.org/10.1007/s10096-023-04687-6
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author Price, Cody
Smith, Simon
Stewart, James
Palesy, Tom
Corbitt, Matthew
Galappaththy, Charith
Hanson, Josh
author_facet Price, Cody
Smith, Simon
Stewart, James
Palesy, Tom
Corbitt, Matthew
Galappaththy, Charith
Hanson, Josh
author_sort Price, Cody
collection PubMed
description Aortitis is a life-threatening, manifestation of chronic Q fever. We report a series of 5 patients with Q fever aortitis who have presented to our hospital in tropical Australia since 2019. All diagnoses were confirmed with polymerase chain reaction (PCR) testing of aortic tissue. Only one had a previous diagnosis of acute Q fever, and none had classical high-risk exposures that might increase clinical suspicion for the infection. All patients underwent surgery: one died and 3 had significant complications. Q fever aortitis may be underdiagnosed; clinicians should consider testing for Coxiella burnetii in people with aortic pathology in endemic areas.
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spelling pubmed-106516972023-10-26 Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia Price, Cody Smith, Simon Stewart, James Palesy, Tom Corbitt, Matthew Galappaththy, Charith Hanson, Josh Eur J Clin Microbiol Infect Dis Brief Report Aortitis is a life-threatening, manifestation of chronic Q fever. We report a series of 5 patients with Q fever aortitis who have presented to our hospital in tropical Australia since 2019. All diagnoses were confirmed with polymerase chain reaction (PCR) testing of aortic tissue. Only one had a previous diagnosis of acute Q fever, and none had classical high-risk exposures that might increase clinical suspicion for the infection. All patients underwent surgery: one died and 3 had significant complications. Q fever aortitis may be underdiagnosed; clinicians should consider testing for Coxiella burnetii in people with aortic pathology in endemic areas. Springer Berlin Heidelberg 2023-10-26 2023 /pmc/articles/PMC10651697/ /pubmed/37882919 http://dx.doi.org/10.1007/s10096-023-04687-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Brief Report
Price, Cody
Smith, Simon
Stewart, James
Palesy, Tom
Corbitt, Matthew
Galappaththy, Charith
Hanson, Josh
Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
title Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
title_full Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
title_fullStr Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
title_full_unstemmed Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
title_short Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
title_sort increased recognition of q fever aortitis as a chronic manifestation of q fever in tropical north queensland, australia
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651697/
https://www.ncbi.nlm.nih.gov/pubmed/37882919
http://dx.doi.org/10.1007/s10096-023-04687-6
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