Successful Management of Prosthetic Valve Brucella Endocarditis with Antibiotherapy Alone

  • José Pedro Fonseca Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E. – Viseu, Portugal
  • Telma Pereiro Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E. – Viseu, Portugal
  • Diana Pinho dos Santos Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E. – Viseu, Portugal
  • José Miguel Correia Cardiology Service, Centro Hospitalar Tondela-Viseu, E.P.E. – Viseu, Portugal
  • Joana Capelo Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E. – Viseu, Portugal
  • Adelino Carragoso Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E. – Viseu, Portugal

Keywords

brucella, brucellosis, brucella endocarditis, prosthetic cardiac valve Brucella endocarditis, brucella mellitensi

Abstract

Objectives: To report a case of mechanical aortic prosthesis Brucella endocarditis successfully treated with antibiotics alone.

Materials and methods: We describe a clinical case and present a review of the literature.

Results: A 60-year-old female farmer with a mechanical aortic prosthetic valve presented with low back pain and fever. She was diagnosed with prosthetic valve Brucella mellitensis endocarditis and was cured with antibiotic therapy alone. Few cases of successfully treated prosthetic valve Brucella endocarditis without surgery have been reported.

Conclusion: Prosthetic valve Brucella endocarditis usually requires surgical valve replacement. However, selected patients may be successfully treated with antibiotic therapy alone.

References

  • Franco MP, Mulder M, Gilman RH, Smits HL. Human brucellosis. Lancet Infect Dis 2007;7:775–786.

  • Al Dahouk S, Nöckler K. Implications of laboratory diagnosis on brucellosis therapy. Expert Rev Anti Infect Ther 2011;9:833–845.

  • Al Dahouk S, Schneider T, Jansen A, Nöckler K, Tomaso H, Hagen RM, et al. Brucella endocarditis in prosthetic valves. Can J Cardiol 2006;22:971–974.

  • Keshtkar-Jahromi M, Razavi SM, Gholamin S, Keshtkar-Jahromi M, Hossain M, Sajadi MM. Medical versus medical and surgical treatment for brucella endocarditis. Ann Thorac Surg 2012;94:2141–2146.

  • Mert A, Kocak F, Ozaras R, Tabak F, Bilir M, Kucukuglu S, et al. The role of antibiotic treatment alone for the management of Brucella endocarditis in adults: a case report and literature review. Ann Thorac Cardiovasc Surg 2002;8:381–385.

  • Lee S-A, Kim K-H, Shin H-S, Lee H-S, Choi H-M, Kim H-K. Successful medical treatment of prosthetic mitral valve endocarditis caused by Brucella abortus. Korean Circ J 2014;44:441–443.

  • Murdaca G, Colombo BM, Caiti M, Cagnati P, Massa G, Puppo F. Remission of Brucella endocarditis in a patient with mitral valve mechanical prosthesis by antibiotic therapy alone: a case report. Int J Cardiol 2007;117:e35–e36.

  • Karaoğlan İ, Namiduru M, Baydar İ, Yasemin ZER. Three cases of Brucella prosthetic valve endocarditis cured with medical treatment. ANKEM Derg 2009;23:46–49.

  • Lebre A, Velez J, Seixas D, Rabadão E, Oliveira J, Saraiva da Cunha J, et al. Brucellar spondylodiscitis: case series of the last 25 years. Acta Med Port 2014;27:204–210.

  • Cohen N, Golik A, Alon I, Zaidenstein R, Dishi V, Karpuch J, et al. Conservative treatment for Brucella endocarditis. Clin Cardiol 1997;20:291–294.

  • Sasmazel A, Baysal A, Fedakar A, Buğra O, Ozkokeli M, Büyükbayrak F, et al. Treatment of Brucella endocarditis: 15 years of clinical and surgical experience. Ann Thorac Surg 2010;89:1432–1436.
  • Published: 2018-01-30

    Issue: Vol 5 No 4 (view)

    Section: Articles

    How to cite:
    Fonseca, J. P., Pereiro, T., Pinho dos Santos, D., Correia, J. M., Capelo, J., & Carragoso, A. (2018). Successful Management of Prosthetic Valve Brucella Endocarditis with Antibiotherapy Alone. European Journal of Case Reports in Internal Medicine, 5(4). https://doi.org/https://doi.org/10.12890/2018_000808