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Published on: August 5, 2016
Brucella infection presenting as infective endocarditis complicated by embolic stroke
Abdalla Fadul1, Mohamed H Fadul2, Gokhan Demir1
1Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Brucellosis, a zoonotic infection, rarely causes infective endocarditis leading to embolic stroke. This case highlights Brucella endocarditis presenting as a stroke in a farmer, emphasizing rare zoonotic disease complications.
Area of Science:
- Infectious Diseases
- Neurology
- Cardiology
Background:
- Brucellosis is a zoonotic infection with varied presentations.
- Infective endocarditis is a rare but serious complication of brucellosis.
- Embolic stroke can arise from infective endocarditis.
Observation:
- A 34-year-old male farmer presented with stroke symptoms and fever.
- Cerebral imaging revealed a right middle cerebral artery (MCA) territory infarct and occlusion.
- Despite thrombectomy, persistent fever and inflammatory markers prompted further investigation.
Findings:
- Echocardiography identified aortic valve vegetation.
- Blood cultures confirmed *Brucella melitensis* infection.
- The patient's presentation was attributed to Brucella endocarditis complicated by embolic stroke.
Implications:
- This case underscores the importance of considering zoonotic infections in stroke etiology.
- Early diagnosis and multidisciplinary management are crucial for Brucella endocarditis.
- Awareness of rare Brucella complications is vital for clinicians managing febrile illnesses and neurological deficits.
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