Ben Khalfallah A, Ousji M, Annabi N, Ajili F, Tlili R
Service de cardiologie, hôpital de Menzel-Bourguiba, 7050 Tunisie.
Ann Cardiol Angeiol (Paris). 2006 Jun;55(3):157-60. doi: 10.1016/j.ancard.2005.04.013.
Brucella infective endocarditis is an uncommon, but serious complication of brucellosis. The aortic valve is the most commonly affected cardiac valve. Due to characteristics of the infection, medical therapy alone is not sufficient in treating the disease and best results are obtained with surgery combination. We describe a case of Brucella endocarditis involving the aortic valve suspected in front of the clinical data and the results of serology, confirmed by the culture of the native valves. In association with the medical treatment, management valve replacement lead to a favorable medium-term evolution.
布鲁氏菌感染性心内膜炎是布鲁氏菌病一种罕见但严重的并发症。主动脉瓣是最常受累的心脏瓣膜。由于感染的特点，仅药物治疗不足以治愈该病，手术联合治疗可取得最佳效果。我们描述了一例累及主动脉瓣的布鲁氏菌性心内膜炎病例，该病例根据临床资料和血清学结果怀疑为此病，经自体瓣膜培养得以确诊。在药物治疗的同时，进行瓣膜置换术使患者获得了良好的中期病情转归。
