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. 2011 Aug 27;4(3):e179-e182.
doi: 10.1016/j.jccase.2011.07.008. eCollection 2011 Dec.

Aortic valve endocarditis and cerebral mycotic aneurysm due to brucellosis

Refik Emre Altekin  1 , Mustafa Serkan Karakas  1 , Atakan Yanikoglu  1 , Sinan Cemgil Ozbek  1 , Baris Akdemir  1 , Hakan Demirtas  2 , Necmi Deger  1 , Isil Saatci Cekirge  3
Affiliations

Aortic valve endocarditis and cerebral mycotic aneurysm due to brucellosis

Refik Emre Altekin et al. J Cardiol Cases. .

Abstract

Brucellosis is an infectious disease caused by Gram-negative coccobacilli. Direct contact with the infected tissue or blood, consumption of infected dairy products, and inhalation of infectious aeresol particles can transmit the disease. Brucella endocarditis is rare but the most fatal complication of brucellosis. The most commonly involved valve is aortic valve. Mycotic aneurysms result as an involvement of central nervous system and can lead to serious complications. Herein we present a case with mycotic aneurysmal rupture and aortic insufficency and sinus valsalva fistula caused by brucella endocarditis. There were rare cases with brucella endocarditis and mycotic aneursymal rupture secondary to neurobrucellosis in the literature. Relevant complications are treated with aortic valve surgery and peripheral endovascular intervention.

Keywords: Brucellosis; Endocarditis; Mycotic aneurysm.

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Figures

Figure 1
Figure 1
(Left panel) Magnetic resonance image of the subacute phase hemorhagic zone at right thalamus. (Right panel) Magnetic resonance angiographic image of aneurysm of right posterior cerebral artery.
Figure 2
Figure 2
(Left panel) Echocardiographic image of bicuspid aortic valve, with a vegetation formation on aortic cusp and a fistula between aorta and right atrium as a result of ruptured right sinus valsalva. (Right panel) Transesophageal echocardiographic image of vegetation on aortic cusp. LA, left atrium; RA, right atrium; RV, right ventricle.
Figure 3
Figure 3
(Left panel) Angiographic image of right posterior cerebral artery aneurysm. (Right panel) Angiographic image of embolized posterior cerebral artery aneurysm.
See this image and copyright information in PMC

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