Association of brucella endocarditis with intracerebral haemorrhage

We describe a case of brucella endocarditis which was strongly suspected on clinical grounds and subsequently confirmed by bacteriological, serological and echocardiographic investigations. The endocarditis, in a 42-year-old Saudi male, was complicated by intracerebral haemorrhage, presumably from a ruptured mycotic aneurysm. Although such a complication is well documented in other forms of infective endocarditis, it has not been reported in brucellosis.