{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:43:54Z","timestamp":1755225834529,"version":"3.43.0"},"reference-count":13,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>We report a case of successful surgical treatment of Q fever endocarditis with mitral valve repair in a 66-year old retired British soldier. Valve replacement is invariably undertaken in Q fever endocarditis due to the degree of valvular damage and concerns about eradicating the organism, <jats:italic>Coxiella burnetii<\/jats:italic>. Our unique case allowed valve repair since pre-existing myxomatous degeneration and subsequent posterior mitral valve leaflet prolapse resulted in significant excess valve tissue, allowing quadrangular resection of the damaged and perforated P2 portion of this leaflet. Follow-up at four years (including three years of antibiotic treatment) has confirmed excellent valve repair, with no echocardiographic, clinical or microbiological evidence of recurrence. We are only the second group to describe valve repair in a patient with chronic Q fever endocarditis.  Valve repair is preferable to valve replacement for Q fever endocarditis, <jats:italic>if technically possible<\/jats:italic>.<\/jats:p>","DOI":"10.1136\/jramc-158-02-13","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"132-134","source":"Crossref","is-referenced-by-count":4,"title":["Successful Surgical Treatment of Q Fever Endocarditis with Mitral Valve Repair"],"prefix":"10.1136","volume":"158","author":[{"given":"JN","family":"Khan","sequence":"first","affiliation":[{"name":"Hereford County Hospital, Wye Valley NHS Trust, Hereford, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LD","family":"Tapp","sequence":"additional","affiliation":[{"name":"Hereford County Hospital, Wye Valley NHS Trust, Hereford, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JM","family":"Glancy","sequence":"additional","affiliation":[{"name":"Hereford County Hospital, Wye Valley NHS Trust, Hereford, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Prasad","sequence":"additional","affiliation":[{"name":"Hereford County Hospital, Wye Valley NHS Trust, Hereford, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MS","family":"Bailey","sequence":"additional","affiliation":[{"name":"Birmingham Heartlands Hospital,Birmingham, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy R","family":"Graham","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Trust, Birmingham, England, UK, B15 2TT, 0121 627 2541 0121 627 5736 tim.graham@uhb.nhs.uk"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,6,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1823","DOI":"10.1128\/JCM.36.7.1823-1834.1998","volume":"36","year":"1998","unstructured":"Fournier PE, Marrie TJ, Raoult D. Diagnosis of Q fever. J Clin Microbiol 1998; 36: 1823-34.","journal-title":"J Clin Microbiol"},{"key":"ref_2","first-page":"377","article-title":"\u201cQ\u201d fever; a new disease in armies","volume":"97","author":"Blewitt, B.","year":"1951","unstructured":"Blewitt B. \u201cQ\u201d fever; a new disease in armies. J R Army Med Corps 1951; 97: 377-88.","journal-title":"J R Army Med Corps"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1177\/014107687807101011","article-title":"Military significance of Q fever: a review","volume":"71","author":"Spicer, A.J.","year":"1978","unstructured":"Spicer AJ. Military significance of Q fever: a review. 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Undifferentiated Febrile Illnesses amongst British Troops in Helmand, Afghanistan. J R Army Med Corps 2011; 157: 150-5.","journal-title":"J R Army Med Corps"},{"key":"ref_6","first-page":"1","article-title":"The Q fever epidemic in The Netherlands: history, onset, response and reflection","volume":"139","author":"Roest, H.I.; Tilburg, J.J.; van der Hoek, W.","year":"2011","unstructured":"Roest HI, Tilburg JJ, van der Hoek W et al. The Q fever epidemic in The Netherlands: history, onset, response and reflection. Epidemiol Infect 2011; 139: 1-12.","journal-title":"Epidemiol Infect"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2936","DOI":"10.1161\/01.CIR.98.25.2936","article-title":"Diagnosis and Management of Infective Endocarditis and Its Complications","volume":"98","author":"Bayer, A.S.; Bolger, A.F.; Taubert, K.A.","year":"1998","unstructured":"Bayer AS, Bolger AF, Taubert KA, et al. Diagnosis and Management of Infective Endocarditis and Its Complications. 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