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Brucellosis Presented with Endocarditis
Nail Özgüneş1, Sibel Arınç2, Yüksel Aksoy1, Kemal Mutlu3, İsmail Bayal2, Pınar Ergen11SSK Göztepe Training and Research Hospital of Infectious Diseases, Istanbul2SSK Sureyyapasa Thoracic and Cardiovascular Diseases Training Hospital, Istanbul
3SSK Göztepe Training and Research Hospital, Internal Medicine Clinic, Istanbul
A 42 years old man was referred to our clinic for evalution of acute alteration in clinical status. His medical history included mitral and aortic valve operation due to rheumatic valvuler disease 7 years ago and inadequate treatment for brucellosis 7 months ago. Sistolic murmur at middle left border of sternum was heart and tachycardia was observed on physical examination. The patient was hospitalised. Administiration of
empric vancomycin and gentamycin combination therapy had been initiated to treat prostetic valve endocardity. After several days in the hospital the clinical status persisted.Vegetations on prostetic aortic valve were seen in transesophageal cardiac
echo and brucella tube agglutination test was positive at a titer 1/640. The patient was diagnosed as brucella endocarditis and was treated rifampicin and doxycline.
Keywords: Brucella, endocarditis
Brusellaya Bağlı Prostetik Kapak Endokarditi
Nail Özgüneş1, Sibel Arınç2, Yüksel Aksoy1, Kemal Mutlu3, İsmail Bayal2, Pınar Ergen11SSK Göztepe Eğitim ve Araştırma Hastanesi Enfeksiyon Hastalıkları Kliniği, İstanbul2SSK Süreyyapaşa Göğüs Kalp ve Damar Hastalıkları Eğitim Hastanesi, İstanbul
3SSK Göztepe Eğitim ve Araştırma Hastanesi Dahiliye Kliniği, İstanbul
Anahtar Kelimeler: Brusella, endokardit
Manuscript Language: Turkish