Salehi Mohammadreza, Khalili Hossein, Khoshavi Meysam, Mollazadeh Reza, Jahanshahi Bahare, Hosseini Mahnaz Sadat
Research Center for Antibiotic Stewardship and Antimicrobial Resistance, Imam Khomeini Hospital Complex, Department of Infectious Diseases, Tehran University of Medical Sciences (TUMS), Iran.
Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
IDCases. 2023 Aug 2;33:e01868. doi: 10.1016/j.idcr.2023.e01868. eCollection 2023.
Brucellosis is a zoonotic disease that remains an important public health problem in developing countries. It can affect almost all organs, including the heart. While cardiac complications of brucellosis are not common, they usually manifest as endocarditis. Brucella myocarditis, on the other hand, is a highly rare complication of brucellosis. In this case report, we present the case of a 35-year-old woman who was admitted to the hospital with severe palpitations, fever, and fatigue. Due to the patient's long history of brucellosis and clinical symptoms, she underwent cardiac evaluation, including cardiac magnetic resonance imaging, which was a promising method to diagnose Brucella myocarditis. Hopefully our patient responded well to Rifampin and Doxycycline with gentamicin. It is important to raise awareness of this rare but potentially serious complication of brucellosis and to emphasize the value of early diagnosis and treatment.
布鲁氏菌病是一种人畜共患病，在发展中国家仍然是一个重要的公共卫生问题。它几乎可以影响所有器官，包括心脏。虽然布鲁氏菌病的心脏并发症并不常见，但通常表现为心内膜炎。另一方面，布鲁氏菌性心肌炎是布鲁氏菌病极为罕见的并发症。在本病例报告中，我们介绍了一名35岁女性患者，她因严重心悸、发热和疲劳入院。由于患者有长期的布鲁氏菌病病史及临床症状，她接受了心脏评估，包括心脏磁共振成像，这是诊断布鲁氏菌性心肌炎的一种很有前景的方法。希望我们的患者对利福平、强力霉素联合庆大霉素反应良好。提高对这种布鲁氏菌病罕见但可能严重的并发症的认识，并强调早期诊断和治疗的价值非常重要。
