Table 2 Epidemiological factors, laboratory and clinical findings of patients with Q fever endocarditis hospitalized in Rajaie Cardiovascular Medical and Research Center, Tehran, 2016–2018.

From: Q Fever Endocarditis in Iran

No.

Age/Sex

Residency/ job

Animal Keeping History

Prosthetic Valve or Cardiovascular Implantable Electronic Device

ESR

Clinical Signe

Echocardiography Findings

Titers of IgG (IFA)

PCR

Diagnosis of Q Fever Endocarditis (Possible or Definitive)

Outcome

I

II

1

59/F

Urban/Housekeeper

Yes (Brid)

No

83

Fatigue, Cough, Weight loss

Vegetation (Mitral Valve)

1024

2048

Negative

Possible

Follow-up

2

37/M

Urban/Mining engineer

Yes (Dog)

Yes(Pulmonary Valve)

94

Fever, Night sweats, Chronic pneumonia, Headache, Fatigue,

Vegetation (Pulmonary Valve)

131072

65536

Negative

Definitive

Lack of follow-up

3

33/M

Urban/Photographer

No

Yes(Pulmonary Valve)

45

Cough, Fatigue, Fever, Night sweats

Vegetation (Pulmonary Valve)

32768

16384

Negative

Definitive

Follow-up

4

69/M

Urban/ Retired employee

No

Yes (ICD)

90

Cough, Fatigue, Fever, Night sweats, Myalgia

Vegetation (ICD lead Pace)

1024

512

Negative

Definitive

Died

5

23/F

Urban/Housekeeper

Yes (Brid)

Yes(Pulmonary Valve)

90

Cough, Fatigue, Fever, Chest pain, Weight loss, Anemia, Anorexia

Vegetation (Pulmonary valve)

2048

2048

Negative

Definitive

Follow-up

6

25/M

Urban/Slaughterhouse worker

Yes (Brid, Sheep and Goat)

No

90

Chest pain, Fever, Night sweats, Myalgia

Vegetation (Pulmonary Valve)

2048

2048

Negative

Definitive

Follow-up

7

44/M

Urban/Driver

Yes (Bird, Cow, Sheep and Goat)

No

12

Anemia, Anorexia

Vegetation (Aortic Valve)

4096

4096

Negative

Possible

Follow-up

8

54/F

Urban/Housekeeper

No

Yes (Aortic and Mitral Valves)

19

Myalgia, Fatigue, Fever, Chest pain, Weight loss, Anemia, Anorexia

Vegetation (Repaired Tricuspid)

4096

4096

Negative

Possible

Lack of follow-up

9

33/F

Urban/Housekeeper

No

No

45

Myalgia, Fatigue, Fever, Chest pain

Severe Mitral Regurgitation

32768

32768

Negative

Possible

Follow-up

10

58/M

Rural/Farmer

Yes (Cow, Sheep and Goat)

No

45

Fatigue, Myalgia, Headache, Hepatosplenomegaly, Anemia, Anorexia

Vegetation (Aortic Valve)

1024

1024

Positive (Blood)

Definitive

Follow-up

11

56/M

Urban/Retired employee

No

No

25

Fever, Night sweats, Anemia, Weight loss

Vegetation (Mitral Valve)

4096

2048

Negative

Definitive

Follow-up

12

29/M

Urban/Welding worker

No

No

64

Chest pain, Fever, Night sweats, Myalgia, Headache, Weight loss, Anorexia

Vegetation (Mitral and Aortic Valve)

8192

8192

Negative

Definitive

Follow-up

13

60/M

Urban/Farmer

Yes (Brid, Cat, Dog, Cow, Sheep and Goat)

Yes(Aortic and Mitral Valves)

33

Chest pain, Night sweats

Vegetation (Mitral)

2048

512

Negative

Possible

Died

14

40/M

Urban/ Supermarket worker

No

No

25

Fever

Vegetation (Tricuspid and Aortic Valves)

256

512

Positive (Valve)

Definitive

Died

15

67/M

Urban/Teacher

No

No

3

Myalgia, Fatigue, Fever

Vegetation (Mitral Valve)

1024

1024

Negative

Definitive

Follow-up

16

26/M

Urban/Student

No

Yes(Aortic Valve)

4

Fatigue, Night sweats, Fever

Pseudoaneurysm of aorta, Dehiscence

4096

8192

Negative

Definitive

Follow-up