Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia
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Smith, S
Stewart, J
Palesy, T
Corbitt, M
Galappaththy, C
Hanson, J
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Abstract
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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European Journal of Clinical Microbiology & Infectious Diseases
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© The Author(s) 2023. 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/.
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Microbiology
Medical microbiology
Aortitis
Coxiella burnetii
Prosthesis-related infections
Q fever
Vascular prosthesis
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Price, C; Smith, S; Stewart, J; Palesy, T; Corbitt, M; Galappaththy, C; Hanson, J, Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia, European Journal of Clinical Microbiology & Infectious Diseases, 2023