Vuslat BOŞNAK KEÇİK, İlkay KARAOĞLAN, MUSTAFA NAMIDURU, Mehtap ERDEM, İbrahim BAYDAR

Antibiyotik tedavisi ile düzelen Brucella melitensis’e bağlı protez kapak endokarditi olgusu

Endokardit brusellozun nadir ancak mortalitesi yüksek bir komplikasyonudur. Bu yazıda 75 yaşında, sadece medikal tedavi ile düzelen, Brucella melitensis’e bağlı bir protez aort kapak endokarditi olgusu sunulmuştur. Olgumuz ve bu konudaki literatür taraması, seçilmiş olgularda antibiyotik tedavisinin cerrahi tedaviye bir alternatif olabileceğini göstermiştir.

A case of prosthetic valve endocarditis due to Brucella melitensis treated with antibiotic treatment

Endocarditis is a rare but fatal complication of brucellosis. We report a 75 year old male with mitral valve endocarditis due to Brucella melitensis who was completely cured with medical treatment alone. Our case and the literature demonstrate that, in selected patients, antibiotic treatment may be a valid alternative to surgery.

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1. Akinci E, Gol MK, Balbay Y. A case of prosthetic mitral valve endocarditis caused by Brucella abortus, Scand J Infect Dis 2001;33(1):71-2. http://dx.doi.org/10.1080/003655401750064121
2. Cohen N, Golik A, Alon I et al. Conservative treatment for Brucella endocarditis, Clin Cardiol 1997;20(3):291-4. http://dx.doi.org/10.1002/clc.4960200319 PMid:9068918
3. Corbel MJ, Brinley-Morgan WJ. Genus Brucella, “Krieg NR, Holt JG (eds). Bergey’s Manual of Systematic Bacteriology, Vol.1” kitabında s.373-80, Williams and Wilkins, Baltimore MD (1984).
4. Demir P, Yüksel Ö, Çapar Y, Cesur S, Sözen TH, Tekeli E. Bruselloza bağlı endokardit olgusu, İnfeksiyon Derg 2003;17(2):219-20.
5. Doğanay M, Alp-Meşe E. Bruselloz, “Topçu AW, Söyletir G, Doğanay M (eds). Enfeksiyon Hastalıkları ve Mikrobiyolojisi, 3.baskı” kitabında s.897-909, Nobel Tıp Kitabevleri, İstanbul (2008).
6. Günes Y, Tuncer M, Guntekin U et al. Clinical characteristics and outcome of Brucella endocarditis, Trop Doct 2009;39(2):85-8. http://dx.doi.org/10.1258/td.2008.070436 PMid:19299289
7. Hadjinikolaou L, Triposkiadis F, Zairis M, Chlapoutakis E, Spyrou P. Successful management of Brucella melitensis endocarditis with combined medical and surgical approach, Eur J Cardiothorac Surg 2001;19(6):806-10. http://dx.doi.org/10.1016/S1010-7940(01)00696-0
8. Jacobs P, Abramowicz D, Vereerstraeten P, Le Cllerc JL, Zech F, Thys JP. Brucella endocarditis: the role of combined medical and surgical treatment, Rev Infect Dis 1990;12(5):740-4. http://dx.doi.org/10.1093/clinids/12.5.740
9. Karaoğlan İ, Namıduru M, Baydar İ et al. Three cases of Brucella prosthetic valve endocarditis cured with medical treatment, ANKEM Derg 2009;23(1):46-9.
10. Khalfallah BA, Ousji M, Annabi N, Ajili F, Tlili R. Brucella endocarditis: Clinical particularities and therapeutic modalities, Ann Cardiol Angeiol (Paris) 2006;55(3):157-60. http://dx.doi.org/10.1016/j.ancard.2005.04.013 PMid:16792033
11. Mert A, Kocak F, Ozaras R et al. The role of antibiotic treatment alone for the management of Brucella endocarditis in adults: a case report and literature review, Ann Thorac Cardiovasc Surg 2002;8(6):381-5. PMid:12517300
12. Mohandas N, Balasubramanian R, Prasad SB. Can Brucella endocarditis be treated successfully with medical therapy alone ? Trop Doct 2009;39(2):123-4. http://dx.doi.org/10.1258/td.2008.070446 PMid:19299306
13. Rahman A, Burma O, Felek S, Yekeler H. Atrial septal defect presenting with Brucella endocarditis, Scand J Infect Dis 2001;33(10):776-7. http://dx.doi.org/10.1080/003655401317074635 PMid:11728049
14. Reguera JM, Alarcon A, Miralles F, Pachon J, Juarez C, Colmenero JD. Brucella endocarditis: Clinical, diagnostic, and therapeutic approach, Eur J Clin Microbiol Infect Dis 2003;22(11):647-50. http://dx.doi.org/10.1007/s10096-003-1026-z PMid:6756909
15. Valliattu J, Shuhaiber H, Kiwan Y, Araj G, Chugh T. Brucella endocarditis, J Cardiovasc Surg (Torino) 1989;30(5):782-5.
16. Young EJ. Brucella species, “Mandell GL, Bennett JE, Dolin R(eds). Principles and Practice of Infectious Diseases” kitabında s.2669-74, Churchill Livingstone, Philadelphia (2005).