Endocarditis brucelis: A case report of a hidden complication

Area of Science:

• Infectious Diseases
• Cardiology
• Medical Case Reports

Background:

• Brucellosis can lead to endocarditis, a serious complication with high mortality.
• Prevalence studies of Brucella endocarditis are limited, often relying on case reports.

Observation:

• A 40-year-old male with a history of treated brucellosis presented with severe aortic regurgitation and dyspnea.
• Echocardiography revealed aortic valve perforation and left ventricular dilatation, indicating chronic disease.
• The patient underwent successful mechanical aortic valve replacement.

Findings:

• Brucella endocarditis diagnosis can be challenging due to nonspecific clinical presentations.
• Cardiac echocardiography is vital for detecting vegetations, perforations, and abscesses in suspected cases.
• Early diagnosis and management of aortic Brucella endocarditis are critical to prevent severe outcomes.

Implications:

• Highlights the importance of considering Brucella endocarditis in patients with relevant history and cardiac symptoms.
• Emphasizes the role of echocardiography in diagnosing cardiac complications of brucellosis.
• Underscores the need for rapid intervention to improve patient outcomes in Brucella endocarditis.