Serkan AKDAG, Aytac AKYOL, Hakki SİMSEK, Musa SAHİN, Mehmet YAMAN

Brucella Endocarditis Caused by Brucella Melitensis

We present a rare case of brucella endocarditis, forming a vegetation on the mitral valve. The definitive diagnosis has been made with clinical suspicion, positive serology, the demonstration of the vegetation with the echocardiography and with the production from the multiple blood culture of Brucella melitensis and from the excised valve. Our patient has been successfully treated with specific antibiotherapy and the surgery of replacement of mitral valve. Our aim in presenting the case is to remind the infective endocarditis which is due to this factor in the regions like our country which is endemic for brucellosis.

Keywords:

Brucellosis, endocarditis, endemic for brucellosis,

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Young EJ. Brucella species. In: Mandel GL, Bennett JE, Dolin R, eds. Principles and practice of infectious diseases. New York: Churchill Livingstone inc 2005: 2666-2672.
Erbay AR, Turhan H, Doğan M et al. Brucella endocarditis complicated with a mycotic aneurysm or the superior mesenteric artery: a case report. Internal journal of cardiology 2004; 93: 317-319.
Leandro J, Roberto H, Antunes M. Brucella endocarditis of the aortic valve. Euoropean Juornal of Cardio-thoracic Surgery 1998; 13: 95-97.
Aygen B, Doğanay M, Sümerkan B, Yıldız O, Kayabaş Ü. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patiens. Medecine et Maladies Infectieuses 2002; 32: 485-493.
Bal A, Gürçay E, Ünlüsoy D, Çınar C, Çakıcı A. Brusellozda kas iskelet sistemi komplikasyonları. Trakya Üniv Tıp Fak Derg 2008; 25: 20-25. Yüce A, Alp-Çavuş S. Türkiye’de bruselloz: Genel bakış. Klimik Derg 2006; 19: 87-97.
Hadjinikololaou L, Triposkiadis F, Zairis M, Chlapoutacis E, Spyrou P. Succesful management of Brucella melitensis endocarditis with combined medikal and surgical approach. Euoropean Juornal of Cardio-thoracic Surgery 2001; 19: 806-810. Buchanan TM, Faber LC, Feldman RA, et al. Brucellosis in the United States 1960-1972. An abattoir associated disease. Part I. Clinical features and therapy. Medicine 1974; 53: 403.
Guneş Y, Tuncer M, Guntekin U, et al. Clinical characteristics and outcome of Brucella endocarditis. Trop Doct 2009; 39: 85-88.
Jeroudi MO, Halim MA, Harder EJ, et al. Brucella endocarditis. Br Heart J 1987; 58: 279-283.