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Brucellar Endocarditis of the Tricuspid Valve: A Case Report and Review of the Literature

Authors :
Evangelo Boumis
Pierangelo Chinello
Vincenzo Galati
Simone Topino
Francesca Gavaruzzi
Stefania Cicalini
Source :
Pathogens, Vol 13, Iss 3, p 239 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Brucellar endocarditis is a rare entity commonly described as a severe disease associated with high mortality and generally requiring valve surgery for cure. Right-sided endocarditis, a very uncommon presentation of brucellosis, may be associated with a better prognosis. We describe the case of a 72-year-old woman admitted to our institution with a persistent fever and multiple pulmonary infiltrates. Transthoracic echocardiography and serologic tests led to the diagnosis of brucellar tricuspid endocarditis. The patient responded favorably to antibiotic treatment alone and did not need surgery. Prolonged antibiotic therapy with a combination of drugs active on intracellular microorganisms in the absence of surgical treatment could be effective in brucellar tricuspid endocarditis when the valve is not severely damaged.

Details

Language :
English
ISSN :
20760817
Volume :
13
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Pathogens
Publication Type :
Academic Journal
Accession number :
edsdoj.6ec94fc62504a46ad336af0bdfb718b
Document Type :
article
Full Text :
https://doi.org/10.3390/pathogens13030239