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Published on: September 20, 2018
Brucella endocarditis of pulmonary valve: a rare presentation
Ganesh Naga Kasinadhuni1, Mohan Kumar H2, Ashwani Kumar Sharma1
1Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
Brucellosis is one of the most frequent zoonotic infections. Cardiac involvement is rare and when involved, affects aortic valve the most. The appearance of a new murmur on clinical examination during sepsis should suspect seeding on valves. Our patient had pulmonary valve endocarditis secondary to brucellosis which was managed with pharmacotherapy as there was no valvular pathology. Triple therapy is standard of care and usually given for months, non-response to pharmacological treatment warrants surgical intervention. Our patient completed the triple-drug regimen at 3 months and is asymptomatic at present.
Insights
Brucellosis, a common zoonotic infection, can rarely affect heart valves. This case highlights pulmonary valve endocarditis managed successfully with prolonged antibiotic therapy, avoiding surgery.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Brucellosis is a significant zoonotic disease with diverse clinical manifestations.
- Cardiac involvement in brucellosis is uncommon, typically affecting the aortic valve.
- New heart murmurs during sepsis warrant investigation for infective endocarditis.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Mitral Stenosis I: Introduction
Endocarditis III: Medical Management
Rheumatic Heart Disease I: Introduction
Mitral Valve Prolapse I: Introduction

