title: [Brucella endocarditis of native valves. Report of 3 cases].
abstract: Brucella endocarditis is a rare but a serious complication of human brucellosis. We report 3 cases, the diagnostic was suspected by the patient's history of systemic brucellosis in two cases and established by the culture of native valve material in the third. All the patients underwent surgery for non control of the infections, one patient died in immediately postoperative period by acute cardiac failure. For the other patients, there were no early or late mortality and no recurrence after a follow up of respectively 6 and 84 months. The diagnostic of brucella endocarditis needed a very high degree of clinical suspicion, it requires an early management valve replacement is in the majority of cases, followed by adequate and prolonged antibiotic treatment.
authors.affiliation: Service de Chirurgie Cardio-Vasculaire, Hôpital Militaire principal d'instruction de Tunis.
authors.forename: H
authors.initials: H
authors.lastname: Lahdhili
authors.forename: M
authors.initials: M
authors.lastname: Ziadi
authors.forename: S
authors.initials: S
authors.lastname: Abdelmoulah
authors.forename: M
authors.initials: M
authors.lastname: Bey
authors.forename: A
authors.initials: A
authors.lastname: Ben Youssef
authors.forename: S
authors.initials: S
authors.lastname: Chenik
authors.forename: M
authors.initials: M
authors.lastname: Chemingui
authors.forename: T
authors.initials: T
authors.lastname: Mestiri
authors.forename: H
authors.initials: H
authors.lastname: Chaouch
authors.forename: H
authors.initials: H
authors.lastname: Thameur
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002002:Brucella / Q000472:pathogenicity*; D002006:Brucellosis / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006349:Heart Valve Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents