Brucella endocarditis complicated by acute glomerulonephritis--early surgical intervention.
Brucellosis, a zoonotic disease, occurs most frequently in areas of the Middle East and Mediterranean-bordering countries. Endocarditis, which occurs in less than 2% of all cases of brucellosis, accounts for most brucellosis-related deaths. The patient described here had Brucella endocarditis in a bicuspid aortic valve complicated by acute glomerulonephritis, which was successfully treated with urgent aortic valve replacement and intensive medical therapy. The diagnosis was made initially by a high agglutination titer and later confirmed with positive blood culture.
Sharivker
D
D
Department of Cardiology, Western Galilee Hospital, Nahariya, Israel. llmmnno@netvision.net.il
Vazan
A
A
Varkel
J
J
D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents; D001021:Aortic Valve; D002006:Brucellosis / Q000188:drug therapy*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000628:therapy; D005921:Glomerulonephritis / Q000188:drug therapy / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male
D000900:Anti-Bacterial Agents