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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Right ventricular outflow tract endocarditis caused by brucellosis
Feridoun Sabzi1, Aghighe Heidari2, Reza Faraji1
1Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Journal of Infection and Public Health
|February 2, 2017
Summary
Brucellosis rarely causes right-sided infective endocarditis (RSIE), particularly in the right-ventricular outflow tract (RVOT). Surgical resection of the RVOT vegetation led to patient recovery.
Area of Science:
- Infectious Diseases
- Cardiology
- Surgery
Background:
- Right-sided infective endocarditis (RSIE) is uncommon, often linked to immunosuppression or intravenous drug use.
- The tricuspid valve is the most frequent site for RSIE.
- Brucellosis is an unusual cause of RSIE, with right-ventricular outflow tract (RVOT) involvement being exceedingly rare.
Purpose of the Study:
- To report an extremely rare case of RVOT endocarditis caused by brucellosis.
- To highlight the diagnostic and therapeutic challenges in such cases.
Main Methods:
- Case report of a patient with brucellosis presenting with RVOT endocarditis.
- Description of clinical presentation, diagnostic workup, and treatment, including surgical intervention.
Main Results:
- A vegetation was found attached to a muscle bundle in the RVOT.
- Despite antibiotic treatment, the patient's condition worsened, necessitating open-heart surgery.
- Surgical resection of the vegetation resulted in an uneventful recovery and discharge.
Conclusions:
- RVOT endocarditis due to brucellosis is a rare but serious condition.
- Surgical management may be required for RVOT endocarditis when medical therapy fails.
- Early diagnosis and appropriate intervention are crucial for favorable outcomes in RSIE.
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