Kula S, Erer D, Büyükates M, Tunaoglu F S, Olguntürk R, Ozdogan E M
Departments of Pediatric Cardiology, Gazi University Medical School, Ankara, Turkey.
J Heart Valve Dis. 2001 Jul;10(4):486-8.
Cardiac involvement in childhood brucellosis is rare and, when present, findings are usually seen in acute rheumatic fever with endocarditis. We report a successfully treated case of Brucella endocarditis in which the aortic valve was affected. Medical therapy did not cure this patient who, due to hemodynamic deterioration, required valve replacement. This case report suggests that successful management of Brucella endocarditis requires a combination of medical and early surgical therapy.
儿童布鲁氏菌病累及心脏较为罕见，即便出现相关症状，通常也类似急性风湿热伴心内膜炎的表现。我们报告了一例成功治愈的布鲁氏菌性心内膜炎病例，该病例中主动脉瓣受到影响。药物治疗未能治愈该患者，由于血流动力学恶化，患者需要进行瓣膜置换。本病例报告表明，成功治疗布鲁氏菌性心内膜炎需要药物治疗与早期手术治疗相结合。
