A Case of Mitral Stenosis Complicated With Seronegative Brucella Endocarditis
スポンサーリンク
概要
- 論文の詳細を見る
Brucellosis is a multisystemic disease. The most common cause of death from the disease is endocarditis. The aortic valve is most commonly affected. The disease rarely involves the mitral valve. A 30 year-old woman presented with complaints of chills and fever up to 38°C at night, fatigue, palpitations, and dyspnea for the previous 3 weeks. Cardiac auscultation revealed a diastolic murmur in the mitral area. Her temperature was 38.3°C. On echocardiographic examination, the mitral valve area was 0.62 cm 2 and an isoechoic mass thought to be a vegetation was detected on the anterior mitral leaflet. A diagnosis of infective endocarditis was made and vancomycin administration was commenced. Brucella melitensis was isolated in all three blood samples, however, the patient remained seronegative with Brucella agglutination titers of up to 1/160. The antibiotic therapy was then shifted to doxycycline (200 mg/day), rifampicin (600 mg/day), and ciprofloxacin (1000 mg/day). After 30 days of treatment, surgery was performed for the severely stenotic mitral valve and to remove the vegetation. The operation was successful. The postoperative period was uneventful. On the follow-up she had no complaints. In cases with Brucella endocarditis, after diagnosis, antibiotic therapy must be started immediately and when the clinical condition improves, surgical intervention should be performed when indicated.
- International Heart Journal刊行会の論文
著者
-
Ozaydin Mehmet
Department Of Cardiology Faculty Of Medicine Suleyman Demirel University
-
Ocal Ahmet
Department of Cardiovascular Surgery, Faculty of Medicine, University of Suleyman Demirel
-
Ibrisim Erdogan
Department of Cardiovascular Surgery, Faculty of Medicine, University of Suleyman Demirel
-
Yavuz Turhan
Department of Cardiovascular Surgery, Faculty of Medicine, University of Süleyman Demirel
-
Ulusan Vildan
Department of Anesthesiology, Dr. Sami Ulus Hospital
-
Kutsal Ali
Yuksek Ihtisas Hospital, Department of Cardiovascular Surgery
関連論文
- Tilt Training for Recurrent Neurocardiogenic Syncope : Effectiveness, Patient Compliance, and Scheduling the Frequency of Training Sessions
- A CASE REPORT OF ADENOMATOID TUMOR ACCOMPANYING WITH SEMINOMA
- NEPHROGENIC ADENOMA OF THE BLADDER : A CASE REPORT
- Beneficial Effect of the Addition of Nitroglycerin to the Cardioplegic Solution on Lipid Peroxidation During Coronary Artery Bypass Surgery
- Mean platelet volume is associated with insulin resistance in non-obese, non-diabetic patients with coronary artery disease
- A Case of Mitral Stenosis Complicated With Seronegative Brucella Endocarditis
- False-positive Exercise Test Secondary to Wolff-Parkinson-White Syndrome in the Absence of Manifest Preexcitation and Disapperance of ST Depressions After Accessory Pathway Ablation