Triad of infective endocarditis, splenic abscess, and septicemia caused by Brucella melitensis

A 40-year-old farmer from the district of North Karnataka who had received treatment for high fever of 8 days duration was admitted with fever, dyspnea, and poor general condition. Ultrasonography and echocardiogram revealed multiple splenic abscesses, vegetation on atrioventricular valve, aortic re...

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Detalles Bibliográficos
Autores principales: Purwar, Shashank, Metgud, Sharada C., Karadesai, Shankar G., Nagamoti, Mahantesh B., Darshan, Arathi, Tiwari, Shreshtha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607771/
https://www.ncbi.nlm.nih.gov/pubmed/28966504
http://dx.doi.org/10.4103/JLP.JLP_12_17
Descripción
Sumario:A 40-year-old farmer from the district of North Karnataka who had received treatment for high fever of 8 days duration was admitted with fever, dyspnea, and poor general condition. Ultrasonography and echocardiogram revealed multiple splenic abscesses, vegetation on atrioventricular valve, aortic regurgitation (Grade I–II), and mitral valve regurgitation (Grade II–III), respectively. Brucella melitensis was detected in blood culture, and high titers of IgM and IgG anti-Brucella antibodies were observed in Brucella specific serological tests. The patient developed fulminant septicemia and succumbed due to multi-organ failure.

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