A 70-year-old stock-breeder with tricuspid valve and defibrillator lead brucella endocarditis.
Brucella endocarditis is a rare and life threatening complication of brucellosis. It usually involves the aortic valve and successful management requires a combination of medical treatment and valve replacement. We describe a case of tricuspid valve and defibrillator lead brucella endocarditis induced by the implantation of the defibrillator itself. Our patient was admitted to hospital with a 2-week history of fever, back pain and night sweats. One month prior to admission, due to episodes of syncope, he was hospitalized at the Cardiology Department and because of a low grade fever he underwent complete investigation with no result. His original symptoms relapsed 2 days after dischargement. Although serological tests were not indicative, blood cultures grew Brucella melitensis and transesophageal echocardiography showed a vegetation on tricuspid valve, which was mildly regurgitant. Fever subsided 2 days following start of triple antibiotic therapy and 2 weeks later the defibrillator and the pacemaker were surgically explanted.
Dourakis
Spyros
S
Sambatakou
Helen
H
Tsiachris
Dimitris
D
Kittou
Naso
N
Alexopoulou
Alexandra
A
Archimandritis
Athanasios
A
D000368:Aged; D000822:Animal Husbandry; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D017347:Brucella melitensis / Q000187:drug effects / Q000302:isolation & purification; D002006:Brucellosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery; D017147:Defibrillators, Implantable; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology*; D016273:Occupational Exposure / Q000009:adverse effects; D010138:Pacemaker, Artificial; D011300:Preoperative Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D012804:Sick Sinus Syndrome / Q000175:diagnosis / Q000628:therapy; D013575:Syncope / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000187:drug effects / Q000382:microbiology
D000900:Anti-Bacterial Agents