Güray Yeşim, Oztürk Sezgin, Boyaci Ayça
Türkiye Yüksek Ihtisas Hastanesi Kardiyoloji Kliniği, Ankara, Turkey.
Turk Kardiyol Dern Ars. 2008 Jul;36(5):329-31.
Early diagnosis of brucella endocarditis is of paramount importance because of its fatal consequences. The most commonly affected localization is the aortic valve, while mitral valve involvement is rare. A 44-year-old male patient with a history of rheumatic heart disease presented with fever, fatigue, and back pain. Three consecutive blood cultures revealed growth of Brucella melitensis. On transthoracic echocardiography, mitral valve area was 1.5 cm2 and there was mild mitral regurgitation. Transesophageal echocardiography showed multiple vegetations on the anterior and posterior mitral valve leaflets. Combination of medical and surgical treatment was planned for the patient with the diagnosis of brucella endocarditis.
由于布鲁氏菌性心内膜炎会导致致命后果，因此早期诊断至关重要。最常受累的部位是主动脉瓣，而二尖瓣受累则较为罕见。一名有风湿性心脏病史的44岁男性患者出现发热、乏力和背痛。连续三次血培养显示有羊布鲁氏菌生长。经胸超声心动图检查显示二尖瓣面积为1.5平方厘米，有轻度二尖瓣反流。经食管超声心动图显示二尖瓣前后叶有多个赘生物。该患者被诊断为布鲁氏菌性心内膜炎，计划采用内科和外科联合治疗。
