Q-Fieber – seltene Ursache einer Myokarditis

Steffen, Julius; Bogner, Johannes und Huber, Bruno C. (2020): Q-Fieber – seltene Ursache einer Myokarditis. In: Deutsche Medizinische Wochenschrift, Bd. 145, Nr. 7: S. 484-487

Abstract

Patient history A 33-year old Romanian chef presented with sudden onset of chest pain and chills as well as a significant elevation of myocardial markers and CRP. Exams Coronary angiography showed no signs of relevant atherosclerosis. A myocarditis was assumed and later diagnosed on cardiac MRI. Diagnostics Due to fevers up to 40 degrees C and occupational history, Q fever was assumed. Serologic findings confirmed the diagnosis. Therapy and course of events After the start of antibiotic treatment, temperatures remained normal and the patient could be discharged a few days later. Azithromycin was recommended for several weeks to prevent a chronic infection. At the check-up visit one month later the patient appeared to have no signs of chronic heart failure or persistent infection. Conclusions: Myocarditis is a rare manifestation of Q fever, which should not be missed. The diagnostic evaluation with antibody titers is easy. The antibiotic therapy is well tolerated and is a causal treatment that helps to prevent long-term damage.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0012-0472
• Sprache: Deutsch