Brucella endocarditis of pulmonary valve: a rare presentation.
Ganesh Naga KasinadhuniMohan KumarAshwani Kumar SharmaRajesh VijayvergiyaPublished in: BMJ case reports (2020)
Brucellosis is one of the most frequent zoonotic infections. Cardiac involvement is rare and when involved, affects aortic valve the most. The appearance of a new murmur on clinical examination during sepsis should suspect seeding on valves. Our patient had pulmonary valve endocarditis secondary to brucellosis which was managed with pharmacotherapy as there was no valvular pathology. Triple therapy is standard of care and usually given for months, non-response to pharmacological treatment warrants surgical intervention. Our patient completed the triple-drug regimen at 3 months and is asymptomatic at present.
Keyphrases
- aortic valve
- transcatheter aortic valve replacement
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve implantation
- case report
- pulmonary hypertension
- randomized controlled trial
- healthcare
- palliative care
- intensive care unit
- acute kidney injury
- left ventricular
- quality improvement
- pain management
- heart failure
- emergency department
- coronary artery disease
- ejection fraction
- health insurance
- chronic pain
- affordable care act