BMC infectious diseases · 2005
Coxiella burnetii vascular graft infection.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Senn Laurence, Franciolli Mario, Raoult Didier, Moulin Alexandre, Von Segesser Ludwig, Calandra Thierry, Greub Gilbert
Аннотация
BACKGROUND: Coxiella burnetii, the causative agent of Q fever, may cause culture-negative vascular graft infections. Very few cases of C. burnetii infection of a vascular graft have been reported. All were diagnosed by serology.
CASE PRESENTATION: We report the first case of Coxiella burnetii vascular graft infection diagnosed by broad-range PCR and discuss the diagnostic approaches and treatment strategies of chronic C. burnetii infection.
CONCLUSION: C. burnetii should be considered as etiological agent in patients with a vascular graft and fever, abdominal pain, and laboratory signs of inflammation, with or without exposure history. Broad-range PCR should be performed on culture-negative surgical samples in patients with suspected infection of vascular graft.
CASE PRESENTATION: We report the first case of Coxiella burnetii vascular graft infection diagnosed by broad-range PCR and discuss the diagnostic approaches and treatment strategies of chronic C. burnetii infection.
CONCLUSION: C. burnetii should be considered as etiological agent in patients with a vascular graft and fever, abdominal pain, and laboratory signs of inflammation, with or without exposure history. Broad-range PCR should be performed on culture-negative surgical samples in patients with suspected infection of vascular graft.