title: Apyrexic Brucella melitensis aortic valve endocarditis.
abstract: The case of a young shepherd with Brucella melitensis aortic valve endocarditis is presented. His illness ran an afebrile course and was also complicated by disseminated intravascular coagulation (DIC), nephritis, hepatitis and peritonitis, all of which responded well to supportive measures and a combination of tetracycline, trimethoprim-sulphamethoxazole and amikacin sulphate. The fact that even the most severe case of brucellosis can present without fever is stressed.
authors.affiliation: Medical Department, Al-Adan Hospital, Ministry of Public Health, Kuwait.
authors.forename: D S
authors.initials: DS
authors.lastname: al-Mudallal
authors.forename: A R
authors.initials: AR
authors.lastname: Mousa
authors.forename: A A
authors.initials: AA
authors.lastname: Marafie
mesh_terms: D000293:Adolescent; D001021:Aortic Valve; D002002:Brucella / Q000302:isolation & purification; D002006:Brucellosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005334:Fever; D006505:Hepatitis / Q000150:complications; D006801:Humans; D008297:Male; D009393:Nephritis / Q000150:complications; D010538:Peritonitis / Q000150:complications