From the Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Abstract: (4354 Views)
Brucella endocarditis is an uncommon but not rare manifestation of
brucellosis in our country. We report six adult patients aged 20 to 45 years.
Two of our patients were female, and this is the first time that Brucella
endocarditis was reported in adult females.
In five cases, aortic valve replacement was performed in addition to
combined antibiotic therapy. One of them died due to immediate complication
of cardiac surgery, but the others had an excellent recovery. Our study
shows that medical treatment is not sufficient for Brucella mellitensis
endocarditis, and urgent cardiac valve replacement must be considered.
The prognosis will not be poor with combined medical and surgical
therapy.