Mitral valve endocarditis during brucellosis relapse

Obrenović-Kirćanski, Biljana; Velinović, Miloš; Vranes, M; Pavlović, Milorad; Kovačević-Kostić, Nataša; Karan, Radmila; Parapid, Biljana; Mikić, Aleksandar; Ristić, Arsen; Seferović, Petar

doi:10.2298/vsp111007020o

Cited by 1 publication

(1 citation statement)

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“…The patient improved by mitral valve replacement accompanied with a 6-month postoperative medical therapy. Prior to this report, no cardiovascular involvement during the relapse episode had been described in a study reported the largest series of patients with brucellosis (21). Infection of tricuspid valve in brucella endocarditis is extremely rare.…”

Section: Discussionmentioning

confidence: 80%

Brucella Endocarditis

Roodpeyma

2013

Arch Pediatr Infect Dis

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Brucella endocarditis is a rare, and life threatening complication of human brucellosis. Children are usually infected by consumption of contaminated dairy product. Clinical presentation is similar to rheumatic fever. Aortic valve is most commonly involved. Clinical manifestations of fever, arthritis/arthralgia, aortic insufficiency, echocardiographic evidence of vegetation, and negative findings of blood culture, in a case with suspicious contact should suggest the diagnosis. Perioperative antibiotics combined with surgical treatment are an effective management. In pediatric age group, surgical techniques using biologic valves and preservation of native valves are preferred.Keywords: Aortic Valve Insufficiency; Brucellosis; Endocarditis; Therapeutics; General Surgery Implication for health policy/practice/research/medical education: Brucellosis is a common infection in Iran, and brucella endocarditis is a fatal cardiac involvement. Recognizing this life threatening complication is useful for pediatricians.

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Section: Discussionmentioning

confidence: 80%