Brucella prosthetic valve endocarditis with septic and cardiogenic shock

Hamieh, Amal; Hamieh, Mohamad

doi:10.1016/j.idcr.2020.e00881

Cited by 3 publications

(9 citation statements)

References 16 publications

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“…The mean duration of the symptoms before diagnosis was 3 ± 3 months (with extremes ranging from one week to 15 months). This duration was between two months and one year in ten patients [ 8 , 19 , 31 , 37 , 38 , 41 – 43 ], less or equal to two months in 24 patients [ 5 , 8 , 9 , 11 , 13 , 17 – 20 , 22 – 28 , 30 , 31 , 33 , 39 , 40 ] and above one year in four patients [ 6 , 15 , 35 , 36 ]. It was not specified for the rest of the patients.…”

Section: Resultsmentioning

confidence: 99%

“…In 11 patients (21.5%), one or more hospitalizations because of fever preceded by a few weeks the diagnosis of Brucella PVE [ 5 , 6 , 19 , 21 , 23 , 28 , 35 , 36 ]. In three patients among them, the diagnosis of brucellosis was determined but patients had failed standard treatment for brucellosis [ 23 , 28 , 43 ]. In patients reported by Al Dhahouk et al [ 23 ], Mehanic et al [ 36 ], Carrington et al [ 35 ], and Hamieh et al [ 43 ], echocardiography was not performed at the time of diagnosis of brucellosis.…”

Section: Resultsmentioning

confidence: 99%

“…In three patients among them, the diagnosis of brucellosis was determined but patients had failed standard treatment for brucellosis [ 23 , 28 , 43 ]. In patients reported by Al Dhahouk et al [ 23 ], Mehanic et al [ 36 ], Carrington et al [ 35 ], and Hamieh et al [ 43 ], echocardiography was not performed at the time of diagnosis of brucellosis. We can’t precise whether they had endocarditis from the beginning or endocarditis developed later during the course of the disease.…”

Section: Resultsmentioning

confidence: 99%

“…Results of serologic tests were not mentioned in six patients [ 12 , 28 , 35 , 36 , 38 , 40 ]. PCR test was performed in only three patients [ 22 , 35 , 43 ]. It was positive in two patients among them [ 22 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…In three patients vegetations was detected in transesophageal Echocardiogram, it was not shown in transthoracic echocardiogram [ 24 , 37 , 42 ]. Six patients had abscess [ 1 , 10 , 23 , 30 , 31 ] and 11 patients had paravalvular leak and regurgitation [ 15 , 17 – 19 , 23 , 25 , 28 , 31 , 32 , 41 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

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Brucella prosthetic valve endocarditis: a systematic review

Taamallah¹,

Hammami²,

Gharsallah³

et al. 2021

Journal of the Saudi Heart Association

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Objective Brucella prosthetic valve endocarditis is a rare but a life-threatening complication of brucellosis. It remains a diagnostic challenge. Optimal treatment of Brucella prosthetic valve endocarditis is debated. Available data is limited to case reports or small case series. The purpose of this study was to systematically review all published cases of Brucella prosthetic valve endocarditis in the literature. Method A systematic review of PubMed database, Google, Google Scholar, and Scopus (From January 1974 to the present) for studies providing epidemiological, clinical and microbiological data as well as data on treatment and outcomes of Brucella prosthetic valve endocarditis was performed. Results A total of 51 reported cases were reviewed. Brucella melitensis (45%) and Brucella abortus (11.7%) were the most frequently isolated species. Most common type of prosthesis valve was mechanical prothesis (84.3%) and ten patients had double valve prosthesis (19.6%). Fever and dyspnea were present in 100% and 37.2% of the cases, respectively. The diagnosis was set with echocardiographic finding in 30 cases (93.7%), which revealed vegetation in 27 cases (84.3%). Most used antibiotics were rifampicin, doxycycline and aminoglycoside or cotrimoxazole. No deaths were noted in patients treated by combined medical and surgical treatment, but mortality was noted in 27.7% of the cases treated by antibiotics alone (p = 0.006). Conclusion This systematic review highlights diagnostic challenges and demonstrates that surgery improved outcome by reducing mortality in patients treated with the combined surgical and medical treatment option. Brucellosis should be considered in the differential diagnosis of prosthetic valve endocarditis in patients residing in or traveling to areas of endemicity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Brucella prosthetic valve endocarditis: a systematic review

Taamallah¹,

Hammami²,

Gharsallah³

et al. 2021

Journal of the Saudi Heart Association

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A Review of Brucella endocarditis

Iragavarapu¹

2022

IJCDW

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Brucella endocarditis is one of the rare, life-threatening complications of a multisystemic zoonotic disease, brucellosis. Careful history taking, clinical examinations, and detailed laboratory tests with special culture media in endemic zones help in diagnosis of this latent disease. No consensus on the exact management of this disease has reached till now. Hence, both medical management and surgical interventions in selective cases were the treatment of choice. This article provides a review of the earlier literature on Brucella endocarditis.

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Clinical Characteristics of a Zoonotic Occupational Disease—Brucella endocarditis with Review of Literature

Anilet¹,

Iragavarapu²,

Koduri³

2022

IJCDW

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Background Brucellosis is a zoonotic bacterial infection caused by a gram-negative aerobic coccobacillus. It can have varied presentation. Most severe complications include neurological and cardiovascular involvement (most commonly in the form of infective endocarditis). Aortic valve is most commonly involved (75%). Blood culture is highly specific, while serologic tests are more sensitive for diagnosing brucellosis. Transthoracic and transesophageal echocardiography plays a major role in diagnosing infective endocarditis. Treatment of Brucella endocarditis includes combination of antibiotic therapy and surgical valve replacement. We are presenting here a case series of seven cases of B. endocarditis with different presentations and varied underlying cardiac conditions. Materials and Methods Total seven cases of B. endocarditis were reported. The age group ranges from 22 to 45 years. Majority of them were from agriculture and dairy industry. All have presented with fever and three patients had severe breathlessness. Three cases were rheumatic valve diseases, one was bicuspid aortic valve, and one was congenital heart disease with prosthetic valve. Six patients had native valve endocarditis (four had predisposing cardiac condition with diseased valves, two had normal valves), whereas one had prosthetic valve endocarditis. Four had aortic valve involvement and three had mitral involvement. All cases were diagnosed using blood culture, serology, and echocardiography. Conclusion All were treated initially with antibiotics and valve replacement was done in five cases. Mortality was the outcome in two cases on conservative treatment and before surgery. Other five patients recovered after surgery.

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Brucella prosthetic valve endocarditis with septic and cardiogenic shock

Cited by 3 publications

References 16 publications

Brucella prosthetic valve endocarditis: a systematic review

Brucella prosthetic valve endocarditis: a systematic review

A Review of Brucella endocarditis

Clinical Characteristics of a Zoonotic Occupational Disease—Brucella endocarditis with Review of Literature

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