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. 2022 Sep;28(9):1886-1889.
doi: 10.3201/eid2809.212565.

Acute Q Fever with Atrioventricular Block, Israel

Karawan Badarni, Miry Blich, Yafit Atiya-Nasagi, Nesrin Ghanem-Zoabi

Acute Q Fever with Atrioventricular Block, Israel

Karawan Badarni et al. Emerg Infect Dis. 2022 Sep.

Abstract

Cardiac involvement in acute Q fever is rare. We report 2 cases of an advanced atrioventricular block in young adult patients in Israel who sought care for acute Q fever without evidence of myocarditis. Q fever should be suspected in unexplained conduction abnormalities, especially in febrile young patients residing in disease-endemic areas.

Keywords: Coxiella burnetii; Israel; Q fever; atrioventricular block; bacteria; zoonoses.

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Figures

Figure 1
Figure 1
Electrocardiogram of a a 48-year-old patient in Israel with Q fever, showing a complete atrioventricular block with ventricular escape rate of 35 bpm and a QRS duration of 140 ms.
Figure 2
Figure 2
Electrocardiogram of a 23-year-old patient in Israel with Q fever, showing a left bundle branch block with sinus bradycardia of 35 bpm.
See this image and copyright information in PMC

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