title: Brucella endocarditis in a non-endemic country: first reported case in East Asia.
abstract: Human brucellosis is a rare zoonosis in East Asia. A case of brucella endocarditis in a 59-year-old farmer who had mild rheumatic mitral stenosis is presented. Excision of the mitral valve with associated vegetation was performed and a mechanical valve was substituted. Antibiotic treatment with doxycycline, rifampicin, and trimethoprim/sulfamethoxazole was continued for 6 months. After 18 months of follow-up, the patient had no symptoms and no signs of relapse.
authors.affiliation: Department of Cardiovascular Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
authors.forename: Hyung Gon
authors.initials: HG
authors.lastname: Je
authors.forename: Hyun
authors.initials: H
authors.lastname: Song
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002003:Brucella abortus / Q000472:pathogenicity*; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents