Increased recognition of Q fever aortitis as a chronic manifestation of Q fever in tropical North Queensland, Australia

Author:

Price Cody,Smith Simon,Stewart James,Palesy Tom,Corbitt Matthew,Galappaththy Charith,Hanson JoshORCID

Abstract

AbstractAortitis 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.

Funder

University of New South Wales

Publisher

Springer Science and Business Media LLC

Subject

Infectious Diseases,Microbiology (medical),General Medicine

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