Caldarera I, Albanese S, Piovaccari G, Ferlito M, Galli R, Squadrini F, Pierangeli A
Istituto di Cardiochirurgia, Università degli Studi, Bologna.
Cardiologia. 1996 May;41(5):465-7.
Brucella infective endocarditis is an uncommon, but serious complication of brucellosis. The aortic valve is the most commonly affected cardiac valve, and a fearful complication is the formation of aortic root abscess. Due to the characteristics of the infection, medical therapy alone is not sufficient in treating the disease and best results are achieved in combination with surgery. We describe 2 cases of brucella endocarditis involving the aortic valve. Aggressive treatment, with surgery performed during a period of active infection, produced good results in eradication of infection and in preventing fatal complications such as rupture of aortic root abscesses.
布鲁氏菌感染性心内膜炎是布鲁氏菌病一种罕见但严重的并发症。主动脉瓣是最常受累的心脏瓣膜，可怕的并发症是主动脉根部脓肿的形成。由于感染的特点，单纯药物治疗不足以治愈该病，联合手术治疗效果最佳。我们描述了2例累及主动脉瓣的布鲁氏菌性心内膜炎病例。在感染活跃期进行积极治疗并手术，在根除感染及预防诸如主动脉根部脓肿破裂等致命并发症方面取得了良好效果。
