You are here

Home » Content

Brucella endokardit tedavisinde medikal ve cerrahi tedavi kombinasyonu

Combination of medical and surgical therapy in the management of Brucella endocarditis

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Here, we present a case of Brucella endocarditis of the native aortic valve. A 44-years-old man was admitted to our hospital with a pre-diagnosis of Brucella endocarditis of the aortic valve. In our hospital, the diagnosis of brucellosis was established by clinical features, positive blood culture and positive serology. Medical treatment (doxycycline and rifampicin) was insufficient and echocardiography showed a mass of vegetation and fourth degree aortic insufficiency. Replacement of the aortic valve was carried out as emergency procedure. Blood and valve cultures were positive for Brucela melitensis. The patient was discharged on 8th postoperative day and received the same antibiotic therapy for 3 months. The patient was regularly controlled throughout postoperative 30 months, and the clinical status has been found excellent.
Bookmark/Search this post with
Abstract (Original Language): 
Bu yazıda, nativ aort kalp kapağını tutan bir Brucella endokarditi olgusu sunulmuştur. Kırkdört yaşında erkek hasta nativ aort kapağı tutan Brucella endokardit tanısını almış olarak hastanemize başvurdu. Hastanemizde Brucella tanısı klinik özelliklerle ve pozitif kan kültürü ve seroloji tetkikleri ile kondu. Medikal tedavi (doksisiklin ve rifampisin) yetersizdi ve ekokardiyografide vejetasyon kitlesi ve dördüncü derece aort yetmezliği bulguları izlendi. Acil olarak aort kapak replasmanı yapıldı ve kan ve kapak kültürlerinde B. melitensis üredi. Hasta ameliyat sonrası 8. gün taburcu edildi ve aynı antibiyotik tedavisine 3 ay devam edildi. Hasta ameliyat sonrası 30. aya kadar düzenli olarak kontrol edildi ve hastada klinik olarak tam iyileşme gözlendi.
FULL TEXT (PDF): 
PDF icon arastirmax-brucella-endokardit-tedavisinde-medikal-cerrahi-tedavi-kombinasyonu.pdf
  • 4
46-48
  • Turkish

REFERENCES

References: 

1. Hadjinikolaou L, Triposkiadis F, Zairis M et al. Successful management of Brucella mellitensis endocarditis with combined medical and surgical approach. EurJ Cardiothorac Surg 2001; 19:806-810.
2. Leandro J, Roberto H, Antunes M. Case report: Brucella endocarditis ofthe aortic valve. Eur J Cardiothoracic Surg 1998; 13:95-97.
3. Berbari EF, Cockerill FR, Steckelberg JM. Infective endocarditis due to unusual or fastidious microorganisms. Mayo ClinProc 1997; 72:532-42.
4. Alsoub H. Brucella infective endocarditis: a report of four successfully treated patients.
Clin Microbiol Infect 2001; 7:382-385.
5. Keles C, Bozbuga N, Sismanoglu M et al. Surgical treatment of Brucella endocarditis. Ann Thorac Surg 2001; 71:1160-1163.
6. Al- Kasab S, Al- Fagih MR, Al- Yousef S et al. Brucella infective endocarditis. Successful combined medical and surgical therapy. J Thorac Cardiovasc Surg 1988;
95:862-867.
7. Vogler WR, Dorney ER, Bridges HA. Bacterial endocarditis: a review of 148 cases. Am J Med 1962; 32:910-921.
8. Peery TM, Evans JH. Chronic valvular heart disease following non-fatal brucellosis. Ann Intern Med 1958; 49: 568-579.
9. Cohen N, Golik A, Alon I. Conservative treatment of Brucella endocarditis. Clin Cardiol 1997; 20:291-294.
10. Jeroudi MO, Halim MA, Harder J et al. Brucella endocarditis. Br HeartJ 1987; 58:279-83.
11. Spink WW. Host parasite relationship in brucellosis. Lancet 1964; 2: 161-164.
12. Fernandez- Guerrero. Zoonotic endocarditis. InfDis ClinNAm 1993; 7:135-152.
13. Flugelman MY, Galun E, Ben-Chetrit E et al. Brucellosis in patients with heart disease: when should endocarditis be diagnosed? Cardiology 1990; 77:313¬317.

Thank you for copying data from http://www.arastirmax.com