First Case of Q Fever Endocarditis Involving the Melody® Transcatheter Pulmonary Valve in an Afebrile Child.

Abstract:

:In this article we report the first case of Q fever endocarditis in a 13 years old child with a percutaneous pulmonary Melody® valve. The patient had a new onset of Melody valve dysfunction associated with the combination of hepatosplenomegaly and pancytopenia but was afebrile. Although blood cultures were negative, we have further investigated in the direction of infective endocarditis by performing PCR detection and the serology of C. burnetii which were positive. A combination antibiotic therapy with doxycycline and hydroxychloroquine was started with good clinical evolution. Our case emphasizes the fact that any Melody valvular dysfuntion should be considered as a potential infective endocarditis despite the absence of typical bacterial features.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Jalal Z,Duperril M,Séguéla PE,Melenotte C,Chabaneix J,Raoult D,Thambo JB

doi

10.1007/s00246-017-1723-5

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

195-197

issue

1

eissn

0172-0643

issn

1432-1971

pii

10.1007/s00246-017-1723-5

journal_volume

39

pub_type

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