Successful Management of Prosthetic Valve Brucella Endocarditis with Antibiotherapy Alone

Authors

• 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

acarragoso@gmail.com

Keywords

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.