Lago-Rodriguez AE; Fraile-Ribot PA; Amengual-Antich I; Gual-Capllonch F; Garcia-Gasalla M

Abstract: Diagnosis of Q fever endocarditis is challenging since clinical findings are non-specific and diagnosis is mainly made by indirect methods such as serology. A progressive constitutional syndrome, severe asthenia, anorexia with no fever and histopathological findings of non-necrotizing gastric granulomas in a gastric biopsy were found preceding a cardiac failure in our case report. Prolonged treatment with doxycycline and hydroxychloroquine is mandatory, and cardiac valve surgery may be needed. Clinical case reports: 2024 doi: 10.1002/ccr3.9635 https://pubmed.ncbi.nlm.nih.gov/39619303