Ostium secundum atrial septal defect endocarditis caused by brucella infection.
The most common cardiovascular presentation of brucellosis (a zoonotic infection) in Iran is aortic valve endocarditis. Brucellosis is a systemic infection and may involve any congenital heart defect with various clinical signs and symptoms. We report brucella endocarditis in an atrial septal defect (ASD) in a 55-year-old man who presented with fever and hemiplegia. Echocardiography showed a secundum ASD with large vegetations of 0.5×1 cm arising from the rim of the ASD. Serological analysis was positive for Brucella agglutinin, thus confirming the diagnosis. The brain CT scan revealed a large ischaemic zone in the left hemisphere. At surgery, large vegetations were excised and the defect was closed with fresh pericardium. After surgery the patient was treated with a 4- week course of antibiotics. His recovery was uneventful except for the neurological deficit (hemiplegia); he was discharged on postoperative day 35.
Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Feridoun
F
Sabzi
Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Reza
R
Faraji
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002006:Brucellosis; D004452:Echocardiography; D004696:Endocarditis; D006344:Heart Septal Defects, Atrial; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D020521:Stroke; D014057:Tomography, X-Ray Computed