title: Brucellosis relapse causing prosthetic valve endocarditis and aortic root infective pseudoaneurysm.
abstract: We report a previously treated case of brucellosis and aortic root replacement, which became complicated by prosthetic valve endocarditis and a massive aortic root pseudoaneurysm. Preoperative blood and intraoperative pseudoaneurysm wall cultures were positive for Brucella, and the patient was managed successfully with a combination of surgical and medical treatment. Brucella endocarditis is further discussed.
authors.affiliation: Division of Cardiothoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Ahmad Ali
authors.initials: AA
authors.lastname: Amirghofran
authors.forename: Ashkan
authors.initials: A
authors.lastname: Karimi
authors.forename: Abbas
authors.initials: A
authors.lastname: Emaminia
authors.forename: Mohammad Bagher
authors.initials: MB
authors.lastname: Sharifkazemi
authors.forename: Shirvan
authors.initials: S
authors.lastname: Salaminia
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D002002:Brucella / Q000302:isolation & purification*; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D020878:Device Removal / Q000379:methods; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis / Q000382:microbiology*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D012008:Recurrence; D012086:Reoperation
chemical_list: D000900:Anti-Bacterial Agents