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A 70-year-old stock-breeder with tricuspid valve and defibrillator lead brucella endocarditis.

Abstract：

:Brucella endocarditis is a rare and life threatening complication of brucellosis. It usually involves the aortic valve and successful management requires a combination of medical treatment and valve replacement. We describe a case of tricuspid valve and defibrillator lead brucella endocarditis induced by the implantation of the defibrillator itself. Our patient was admitted to hospital with a 2-week history of fever, back pain and night sweats. One month prior to admission, due to episodes of syncope, he was hospitalized at the Cardiology Department and because of a low grade fever he underwent complete investigation with no result. His original symptoms relapsed 2 days after dischargement. Although serological tests were not indicative, blood cultures grew Brucella melitensis and transesophageal echocardiography showed a vegetation on tricuspid valve, which was mildly regurgitant. Fever subsided 2 days following start of triple antibiotic therapy and 2 weeks later the defibrillator and the pacemaker were surgically explanted.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Dourakis S,Sambatakou H,Tsiachris D,Kittou N,Alexopoulou A,Archimandritis A

doi

10.1016/j.ijcard.2007.01.018

subject

Has Abstract

pub_date

2008-06-06 00:00:00

pages

e47-9

issue

3

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(07)00415-9

journal_volume

126

pub_type

信件

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