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Brucellar Endocarditis of the Tricuspid Valve: A Case Report and Review of the Literature
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Brucellar Endocarditis of the Tricuspid Valve: A Case Report and Review of the Literature
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Journal Article
Brucellar Endocarditis of the Tricuspid Valve: A Case Report and Review of the Literature
2024
Overview
Brucellar endocarditis is a rare entity commonly described as a severe disease associated with high mortality and generally requiring valve surgery for cure. Right-sided endocarditis, a very uncommon presentation of brucellosis, may be associated with a better prognosis. We describe the case of a 72-year-old woman admitted to our institution with a persistent fever and multiple pulmonary infiltrates. Transthoracic echocardiography and serologic tests led to the diagnosis of brucellar tricuspid endocarditis. The patient responded favorably to antibiotic treatment alone and did not need surgery. Prolonged antibiotic therapy with a combination of drugs active on intracellular microorganisms in the absence of surgical treatment could be effective in brucellar tricuspid endocarditis when the valve is not severely damaged.
Publisher
MDPI AG,MDPI
Subject
/ Anti-Bacterial Agents - therapeutic use
/ brucella
/ Brucella - isolation & purification
/ Dyspnea
/ Endocarditis, Bacterial - diagnosis
/ Endocarditis, Bacterial - drug therapy
/ Endocarditis, Bacterial - microbiology
/ Endocarditis, Bacterial - surgery
/ Female
/ Fever
/ Humans
/ Lungs
/ patients
/ Serology
/ Surgery
/ Tricuspid Valve - diagnostic imaging
/ Tricuspid Valve - microbiology
/ women
