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Esmailpour N.,Tehran University of Medical Sciences | Esmailpour N.,Imam Khomeini Hospital Infectious Diseases Ward | Borna S.,Tehran University of Medical Sciences | Nejad M.R.,Tehran University of Medical Sciences | And 3 more authors.
Tropical Doctor | Year: 2010

Endocarditis is a rare focal complication of brucellosis but the most common cause of mortality.The diagnosis of the complications of endemic diseases is therefore important.We evaluated Brucella endocarditis cases in a teaching hospital in Iran between April1998 and March 2006. Nine patients with amedian age of 38.11years were recorded, of whom seven (77.7%) weremale. Underlying cardiopathy was present in three patients (33.3%).Themedian duration of the symptoms prior to diagnosiswas 5.33 months. Endocarditis involved the aortic valve in six cases (66.6%), themitral valve in two cases (22.2%) and the aortic valve plus themitral valve in one case (11.1%). Serologic tests were positive in eight (88.8%) and blood culture was positive in two (22.2%). Aortic valve replacement surgery was undertaken for five patients (55.5%). One patient died due to arrhythmia. A high degree of suspicion is therefore necessary in order to ameliorate the course of Brucella endocarditis.

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