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Electron microscopy and serological features of a patient with Q fever prosthetic valve endocarditis.
  1. B J Isalska,
  2. A Curry,
  3. T N Stanbridge,
  4. D Tweddle,
  5. E O Caul
  1. Department of Microbiology, South Manchester Hospitals NHS Trust.


    The clinical, serological and electron microscopic findings in a 47 year old woman with bioprosthetic valve coxiella endocarditis occurring 15 years after streptococcal endocarditis are described. The patient underwent valvular surgery a total of four times to control symptoms and remains well on medical therapy more than two years after her last operation.

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