Olea M Pilar
Hospital de Enfermedades Infecciosas, Santiago, Chile.
Rev Chilena Infectol. 2010 Feb;27(1):80-4. Epub 2010 Feb 3.
Brucellosis is not frequent in Chile but it may present with life threatening complications like endocarditis. The case reported refers to a 74 year old man admitted to the Infectious Diseases Hospital Dr. Lucio Córdova in Santiago. He had been febrile for 3 months with no specific symptoms. The trans-esophageal echocardiography confirmed multiple large vegetations and important involvement of the aortic valve. Blood cultures yielded Brucella abortus. The patient required cardiac surgery, along with antibiotics, and he had a satisfactory outcome, being alive at the moment of this report???. Brucellosis can be the responsible for prolonged fever of unknown origin. It is necessary to take in mind brucellosis to obtain the specific laboratory tests. For a best prognosis an early treatment with associated antibiotics for at least 4 a 6 weeks is important. If endocarditis is present valve replacement is often necessary.
布鲁氏菌病在智利并不常见，但可能会出现危及生命的并发症，如心内膜炎。报道的病例是一名74岁男性，入住圣地亚哥的卢西奥·科尔多瓦医生传染病医院。他发热3个月，无特异性症状。经食管超声心动图证实有多个大的赘生物，主动脉瓣受累严重。血培养分离出流产布鲁氏菌。患者需要心脏手术及抗生素治疗，目前预后良好，撰写本报告时仍存活。布鲁氏菌病可能是不明原因长期发热的病因。为进行特定的实验室检查，必须考虑到布鲁氏菌病。为获得最佳预后，早期联合使用抗生素治疗至少4至6周很重要。如果存在心内膜炎，通常需要进行瓣膜置换。
