title: Brucella endocarditis: an occupational hazard!
abstract: A young man presented with a 2-month history of fever and malaise. Cardiac auscultation revealed the presence of a diastolic murmur. Subsequently, a cardiac echocardiogram was done, which showed a large vegetation adherent to an anterior mitral leaflet. The blood culture was positive for Brucella species. The patient was given antibiotic therapy for brucellosis and referred for surgery. Brucella endocarditis is one of the rarest, yet most notorious complications of this infection. This condition requires a high degree of clinical suspicion in order to facilitate prompt diagnosis and treatment.
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Sanjeev Kumar
authors.initials: SK
authors.lastname: Agarwal
authors.forename: Ali Raza
authors.initials: AR
authors.lastname: Rajani
authors.forename: Kosar
authors.initials: K
authors.lastname: Hussain
authors.forename: Mangesh Manoharrao
authors.initials: MM
authors.lastname: Dande
mesh_terms: D000328:Adult; D000382:Agricultural Workers' Diseases / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology*; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004452:Echocardiography; D004696:Endocarditis / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology*; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic
chemical_list: D000900:Anti-Bacterial Agents