Suzan SAÇAR, Derya Hırçın CENGER, Semra Toprak KAVAS, ALİ ASAN, Melek DEMİR, Mustafa SAÇAR, Hüseyin TURGUT

Brucella melitensis'in neden olduğu brusella endokarditi

Bruselloz, Türkiye’de endemik olarak görülen, farklı klinik bulgularla ortaya çıkan, zoonotik bir hastalıktır. Birçok sistemi etkileyen komplikasyonlara yol açabilmektedir. Endokardit brusellozun nadir görülen, fakat ciddi bir komplikasyonudur. Bu olguyu sunmaktaki amacımız; endokarditin, bruselloz komplikasyonu olabildiğini ve tanı konulamazsa veya yanlış tanı konulursa yüksek oranda ölümcül seyrettiğini hatırlatmaktır.

Brucella endocarditis caused by brucella melitensis

Brucellosis is a zoonotic disease endemically seen in Turkey, which occurs with various clinical findings. It can lead to complications affecting many systems. Endocarditis is an infrequent, but serious complication of brucellosis. The aim of this case presentation is to remind that endocarditis can be a complication of brucellosis and if is undiagnosed or misdiagnosed, progresses fatal in a high rate.

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1. Young EJ. Brucella species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and practice of infectious diseases. New York: Churchill Livingstone ınc., 2005: 2666-2672
2. Erbay AR, Turhan H, Doğan M, ve ark. Brucella endocarditis complicated with a mycotic aneurysm of the superior mesenteric artery: a case report. Internal journal of cardiology 2004; 93: 317-319
3. Leandro J, Roberto H, Antunes M. Brucella endocarditis of the aortic valve. European Journal of Cardio-thoracic Surgery 1998; 13: 95-97
4. Aygen B, Doğanay M, Sümerkan B, Yıldız O, Kayabaş Ü. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Medecine et maladies infectieuses. 2002; 32: 485-493
5. Shapiro DS, Wong JD. Brucella pp 625- 631 in Murray PR, Baron JE, Pfaller MA, Tenover FC, Yolken RH (ed), Manual of Clinical Microbiology. 1999, 7th ASM Pres Washington.
6. Hadjinikololaou L, Triposkiadis F, Zairis M, Chlapoutakis E, Spyrou P. Succesful management of Brucella melitensis endocarditis with combined medical and surgical approach. European Journal of Cardio-thoracic Surgery 2001; 19: 806-810
7. Quiroga J, Miralles A, Forinola T, Obi C. Surgical treatment of Brucella endocarditis. Cardiovasc Surg 1996;4:227-230
8. Keleş C, Bozbuğa N, Şişmanoğlu M, et al. Surgical treatment of brucella endocarditis. Ann Thorac Surg 2001;71:1160-1163.