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Case report
Brucella endocarditis of pulmonary valve: a rare presentation
  1. Ganesh Naga Kasinadhuni1,
  2. Mohan Kumar H2,
  3. Ashwani Kumar Sharma1 and
  4. Rajesh Vijayvergiya1
  1. 1Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Mohan Kumar H; monu8501{at}gmail.com

Abstract

Brucellosis is one of the most frequent zoonotic infections. Cardiac involvement is rare and when involved, affects aortic valve the most. The appearance of a new murmur on clinical examination during sepsis should suspect seeding on valves. Our patient had pulmonary valve endocarditis secondary to brucellosis which was managed with pharmacotherapy as there was no valvular pathology. Triple therapy is standard of care and usually given for months, non-response to pharmacological treatment warrants surgical intervention. Our patient completed the triple-drug regimen at 3 months and is asymptomatic at present.

  • cardiovascular medicine
  • valvar diseases
  • radiology (diagnostics)
  • infections
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Footnotes

  • Twitter @monu8501

  • Contributors GNK, AKS and RV were involved in clinical management. GNK and MKH were involved in writing and editing of manuscript. AKS contributed the images from echocardiography.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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