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A progressive constitutional syndrome, severe asthenia, anorexia with no fever and histopathological findings of non\u2010necrotizing gastric granulomas in a gastric biopsy were found preceding a cardiac failure in our case report. Prolonged treatment with doxycycline and hydroxychloroquine is mandatory, and cardiac valve surgery may be needed.<\/jats:p>","DOI":"10.1002\/ccr3.9635","type":"journal-article","created":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T05:50:31Z","timestamp":1732945831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Q Fever Endocarditis: A Challenging Diagnosis in a Patient Referring Weight Loss and Anorexia, and With Granulomas in Gastric Biopsy Specimens"],"prefix":"10.1002","volume":"12","author":[{"given":"Ana Elena","family":"Lago\u2010Rodriguez","sequence":"first","affiliation":[{"name":"Cardiology Department Hospital Universitario Son Espases  Palma Illes Balears Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3822-9965","authenticated-orcid":false,"given":"Pablo Arturo","family":"Fraile\u2010Ribot","sequence":"additional","affiliation":[{"name":"Microbiology Department Health Research Institute of the Balearic Islands (IdISBa), Hospital Universitario Son Espases  Palma Illes Balears Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2704-0865","authenticated-orcid":false,"given":"Isabel","family":"Amengual\u2010Antich","sequence":"additional","affiliation":[{"name":"Pathology Department, Hospital Universitario Son Espases  Palma Illes Balears Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Gual\u2010Capllonch","sequence":"additional","affiliation":[{"name":"Cardiology Department Hospital Universitario Son Espases  Palma Illes Balears Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9842-6768","authenticated-orcid":false,"given":"Mercedes","family":"Garcia\u2010Gasalla","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Facultad de Medicina, Health Research Institute of the Balearic Islands (IdISBa) Hospital Universitario Son Espases, Universitat de Ses Illes Balears  Palma Illes Balears Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"issue":"03","key":"e_1_2_11_2_1","first-page":"1","article-title":"Diagnosis and Management of Q Fever\u2014United States, 2013: Recommendations From CDC and the Q Fever Working Group","volume":"62","author":"Anderson A.","year":"2013","journal-title":"MMWR \u2010 Recommendations and Reports"},{"doi-asserted-by":"publisher","key":"e_1_2_11_3_1","DOI":"10.1093\/eurheartj\/ehad193"},{"doi-asserted-by":"publisher","key":"e_1_2_11_4_1","DOI":"10.3201\/eid2107.130955"},{"doi-asserted-by":"publisher","key":"e_1_2_11_5_1","DOI":"10.1186\/1471-2334-13-413"},{"doi-asserted-by":"publisher","key":"e_1_2_11_6_1","DOI":"10.1111\/iep.12086"},{"issue":"10","key":"e_1_2_11_7_1","article-title":"Bone Marrow Granulomatosis in Acute Q Fever","volume":"13","author":"Carvalho J. 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