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.
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 |