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Updated: Jun 28, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
[A rare complication of brucellosis: mitral valve endocarditis]
Yeşim Güray1, Sezgin Oztürk, Ayça Boyaci
1Türkiye Yüksek Ihtisas Hastanesi Kardiyoloji Kliniği, Ankara, Turkey. yesimguray@gmail.com
Abstract:
Early diagnosis of brucella endocarditis is of paramount importance because of its fatal consequences. The most commonly affected localization is the aortic valve, while mitral valve involvement is rare. A 44-year-old male patient with a history of rheumatic heart disease presented with fever, fatigue, and back pain. Three consecutive blood cultures revealed growth of Brucella melitensis. On transthoracic echocardiography, mitral valve area was 1.5 cm2 and there was mild mitral regurgitation. Transesophageal echocardiography showed multiple vegetations on the anterior and posterior mitral valve leaflets. Combination of medical and surgical treatment was planned for the patient with the diagnosis of brucella endocarditis.
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