Should acute Q-fever patients be screened for valvulopathy to prevent endocarditis?
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Open Access
Type
Article
Language
en
Date
2018-02-20
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Title
Should acute Q-fever patients be screened for valvulopathy to prevent endocarditis?
Translated Title
Published in
Clin Infect Dis 2018; 67(3):360-6
Abstract
Echocardiographic screening of acute Q-fever patients and antibiotic prophylaxis for patients with cardiac valvulopathy are considered an important approach to prevent chronic Q-fever-related endocarditis. During a large Q-fever epidemic in the Netherlands, routine screening echocardiography was discontinued, raising controversy in the international literature. We followed a cohort of acute Q-fever patients to estimate the risk for developing chronic Q-fever, and we evaluated the impact of screening in patients who were not yet known to have a valvulopathy.