Abid Leila, Frikha Zied, Kallel S, Chokri Zayeni, Ismahen Benyaakoub, Amin Bahloul, Hammami Rania, Abid Dorra, Akrout Malek, Hentati Mourad, Kammoun Samir
Cardiology Department, Hedi Chaker Hospital, Tunisia.
Intern Med. 2012;51(8):901-4. doi: 10.2169/internalmedicine.51.6379. Epub 2012 Apr 15.
This case report represents the difficulties in diagnosing brucellosis, which is an enigma with unusual cardiovascular complications. A 32-year-old Caucasian man with acute chest pain was examined at Sfax Hedi Chaker's Hospital. He had a night fever, although his cardiac examination was normal. Further laboratory analyses showed an elevated C-reactive protein of 20.8 mg/dL and troponine I of 1.469 IU/L. A cardiac MRI using delayed enhancement was then performed. The T2-weighted short-axis showed a subepicardial delaying enhancement of infero-lateral and the basal walls of the left ventricle. Accordingly, a diagnosis of Brucella-related myocarditis was made.
