Q fever endocarditis masquerading as Mixed cryoglobulinemia type II. A case report and review of the literature.

ABSTRACT:

Background

The clinical manifestations of Q fever endocarditis are protean in nature. Mixed cryoglobulinemia type II is rarely a facet of the presenting clinical manifestations of Q fever endocarditis.

Case presentation

We report a case of a 65-year-old pensioner with such an association and review the literature. As transesophageal echocardiograms are usually normal and blood cultures are usually negative in Q fever endocarditis, many of the manifestations (fever, rash, glomerulonephritis/evidence of renal disease, low serum C4 complement component, presence of mixed type II cryoglobulin, constitutional symptoms as arthralgias and fatigue) can be attributed to Mixed cryoglobulinemia type II per se. The use of Classic Duke Endocarditis Service criteria does not always suffic

SUBMITTER: Rafailidis PI 

PROVIDER: S-EPMC1397847 | biostudies-literature | 2006 Feb

REPOSITORIES: biostudies-literature