Kalaycioglu Sedat, Imren Yildirim, Erer Dilek, Zor Hakan, Arman Dilek
Gazi University Faculty of Medicine, Department of Cardiovascular Surgery, Ankara, Turkey.
J Card Surg. 2005 Mar-Apr;20(2):189-92. doi: 10.1111/j.0886-0440.2005.200428.x.
Brucella endocarditis, although a rare complication of brucellosis, is a life threatening and often under-diagnosed complication. Despite its high mortality rate with combined medical and surgical treatment, has a low occurrence rate in cases of brucellosis. Here we describe a patient who underwent mitral valve replacement for 3 times due to underdiagnosis of Brucella endocarditis. If a valve replacement fails because of an unknown reason, the doubt of a Brucella infection should be kept in mind for accurate treatment of such patients.
布鲁氏菌性心内膜炎虽是布鲁氏菌病的一种罕见并发症，但却是一种危及生命且常被漏诊的并发症。尽管在内科和外科联合治疗下其死亡率很高，但在布鲁氏菌病病例中的发生率较低。在此，我们描述一名因布鲁氏菌性心内膜炎未被及时诊断而接受了3次二尖瓣置换术的患者。如果瓣膜置换因不明原因失败，应考虑布鲁氏菌感染的可能性，以便对此类患者进行准确治疗。
