Three cases of brucella prosthetic valve endocarditis cured with medical treatment
Brucella endokarditi yüksek mortalite ve morbiditeye sahiptir. Brucella endokarditinde kabul edilen tedavi protokolü cerrahi ve medikal tedavidir. Bu çalışmada Gaziantep Üniversitesi Tıp Fakültesinde 2003-2007 yılları arasında sadece medikal olarak başarılı şekilde tedavi edilmiş Brucella spp.’nin etken olduğu protez kapak endokarditli 3 hasta sunulmuş, bazı durumlarda Brucella endokarditinin dikkatli bir izlem altında sadece antibiyotik ile tedavi edilebileceği tartışılmıştır.
Medikal tedavi ile düzelen üç brucella protez kapak endokarditi olgusu
Brucella endocarditis is associated with high morbidity and mortality. The accepted treatment for Brucella endocarditis is a combination of surgical and medical approach. In this study, we report three cases of prosthetic valve endocarditis due to Brucella spp. treated successfully with antibiotic therapy alone between 2003-2007 years. This report describes that, in some instances, Brucella endocarditis could be managed by antibiotic therapy alone under careful observation.
___
- 1. Bayer AS, Bolger AF, Taubert AK et al: Diagnosis and management of endocarditis and its complications, Circulation 1998;98(25):2936-48.
- 2. Berbari EF, Cockerill FR 3rd, Steckelberg JM: Infective endocarditis due to unusual or fastidious microorganisms, Mayo Clin Proc 1997;72(6):532-42.
- 3. Cohen N, Golik A, Alon I et al: Conservative treatment for Brucella endocarditis, Clin Cardiol 1997;20(3):291-4.
- 4. Colmenero JD, Reguera JM, Martos F et al: Complications associated with Brucella melitensis infection: a study of 530 cases, Medicine (Baltimore) 1996;75(4):195-211.
- 5. Delvecchio G, Fracassetti O, Lorenzi N: Brucella endocarditis, Int J Cardiol 1991;33(2):328-9.
- 6. Erbay AR, Turhan H, Doğan M, Erbaşı S, Çağlı K, Sabah I: Brucella endocarditis complicated with a mycotic aneurysm of the superior mesenteric artery: a case report, Int J Cardiol 2004;93(2-3):317-9.
- 7. Fernández-Guerrero ML: Zoonotic endocarditis, Infect Dis Clin North Am 1993;7(1):135-52. 8. Hadjinikolaou L, Triposkiadis F, Zairis M, Chlapoutakis E, Spyrou P: Successful manage- ment of Brucella melitensis endocarditis with combined medical and surgical approach, Eur J Cardiothorac Surg 2001;19(6):806-10.
- 9. Keleş C, Bozbuğa N, Şişmanoğlu M et al: Surgical treatment of brucella endocarditis, Ann Thorac Surg 2001;71(4):1160-3.
- 10. Koçak F, Şimşek Yavuz S: Brucella spp’ye bağlı doğal ve yapay kapak endokarditi; sekiz olgunun değerlendirilmesi, Flora 2005;10(1):38-42.
- 11. Mert A, Koçak F, Özaras 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.
- 12. Murdaca G, Colombo MB, Caiti M, Cagnati P, Massa G, Puppo F: Remission of Brucella endocarditis in patient with mitral valve mechanical prosthesis by antibiotic therapy alone: a case report, Int J Cardiol 2007;117(1):35-6.
- 13. Purwar S, Metgud SC, Darshan A, Mudnal MB, Nagmoti MB: Infective endocarditis due to Brucella, Indian J Med Microbiol 2006;24(4):286-7.
- 14. Reguera JM, Alorcón A, Miralles F, Pachon J, Juarez C, Colmenero JD: Brucella endocarditis: clinical, diagnostic, and therapeutic approch, Eur J Clin Microbiol Infect Dis 2003;22(1):647-50.
- 15. Uddin MJ, Sanyal SC, Mustafa AS et al: The role of aggressive medical therapy along with early surgical intervention in the cure of Brucella endocarditis, Ann Thorac Cardiovasc Surg 1998;4(4):209-13.