Brucella Endocarditis of the Native Mitral Valve Treated With Antibiotics

Brucellosis is a rare zoonotic infection with a low annual incidence in the United States. Infective endocarditis secondary to brucellosis involving native or prosthetic valves is contemplated to be an extremely rare entity. As Brucella can present with non-specific sign and symptoms, clinicians nee...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-05, Vol.12 (5)
Main Authors: Raza, Muhammad A, Ejaz, Komal, Kazmierski, Daniel
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
Aphasia
Brucellosis
Cardiology
Case reports
Endocarditis
Fever
Infectious Disease
Internal Medicine
Patients
Prostheses
Serology
Staphylococcus infections
Stroke
Substance abuse treatment
Surgery
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Summary:Brucellosis is a rare zoonotic infection with a low annual incidence in the United States. Infective endocarditis secondary to brucellosis involving native or prosthetic valves is contemplated to be an extremely rare entity. As Brucella can present with non-specific sign and symptoms, clinicians need to have a higher degree of suspicion of Brucella endocarditis in culture-negative endocarditis patients, particularly those who have a history of exposure to farm animals. Timely diagnosis with appropriate management using antibiotics can prevent valvular damage and restore the valve's structural integrity. In this case report, we present a case of culture-negative, serology-proven Brucella endocarditis of native mitral valve, with an initial presentation of stroke that was successfully treated with combination antibiotic therapy.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.8167