Rare disease
Culture-negative endocarditis: "whatever remains, however improbable, must be the truth"; the importance of asking the right questions!
Cardiology, Kettering General Hospital NHS Trust, Rothwell Road, Kettering, Northamptonshire, NN16 8UZ, UK
Correspondence to:
Amar Bhavin Kachhia, thisisitamar{at}gmail.com
The complicated case of a patient with recurrent culture-negative endocarditis with a history of repeated mitral valve replacement is described. Investigations disqualified common pathology but serology revealed a diagnosis of Q fever endocarditis. The ongoing problematic management of this patient is described, followed by a brief review of the clinical features, investigations and treatment of Q fever.
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