title: Initial presentation of Brucella endocarditis in a previously healthy eighteen-year-old young man.
abstract: Brucellosis is a reported endemic in the Middle East, Arabian Peninsula, South Asia, and Central and South America, with a high fatality rate of 80%. We present a case report of Brucella endocarditis in a young 18-year-old male who developed aortic and mitral vegetation, subaortic abscess and mitral leaflet perforation. He was started on antibiotics but his cardiac status rapidly deteriorated and eventually needed a double valve replacement. We would like to share our experience and the challenges we faced in managing this case, which is uncommon, especially in young adults.
authors.affiliation: University of Toledo, Ohio, USA. anda_batagol@hotmail.com
authors.forename: Mohammed Andaleeb
authors.initials: MA
authors.lastname: Chowdhury
authors.forename: Wael
authors.initials: W
authors.lastname: El Abbassi
authors.forename: Ahmed
authors.initials: A
authors.lastname: Najeeb
authors.forename: Anoop
authors.initials: A
authors.lastname: Mansoor
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002003:Brucella abortus / Q000302:isolation & purification*; D002006:Brucellosis / Q000150:complications* / Q000628:therapy; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000628:therapy; D006333:Heart Failure / Q000382:microbiology* / Q000628:therapy; D006349:Heart Valve Diseases / Q000150:complications* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male
chemical_list: D000900:Anti-Bacterial Agents