Department of Cardiovascular and Thoracic Surgery, Government Medical College, Kottayam, India.
Department of HPB and Liver Transplant, Caritas Hospital, Kottayam, India.
Ann Thorac Surg. 2019 Jan;107(1):e31-e32. doi: 10.1016/j.athoracsur.2018.05.054. Epub 2018 Jun 19.
Brucellosis is being increasingly recognized after solid organ transplantation but has not been reported after orthotopic heart transplantation. We present the case of a 51-year-old farmer who underwent orthotopic heart transplantation and was readmitted after 3 months in a severely immunosuppressed state with significant nonspecific complaints. He posed a diagnostic and management dilemma to all disciplines, but finally turned out to be harboring Brucella infection. He responded well to medical management and was discharged in a stable clinical status. Although rare, brucellosis should be included in the investigative workup for nonspecific symptoms after cardiac transplantation.
布氏杆菌病在实体器官移植后越来越受到关注，但在原位心脏移植后尚未有报道。我们报告了 1 例 51 岁农民，他接受了原位心脏移植，3 个月后因严重免疫抑制状态和明显的非特异性症状再次入院。他给所有学科都带来了诊断和治疗上的难题，但最终被证实患有布鲁氏菌感染。他对药物治疗反应良好，出院时临床状况稳定。虽然罕见，但在心脏移植后出现非特异性症状时，应将布氏杆菌病纳入调查范围。
