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Review
. 2024 Mar 8;13(3):239.
doi: 10.3390/pathogens13030239.

Brucellar Endocarditis of the Tricuspid Valve: A Case Report and Review of the Literature

Evangelo Boumis  1 , Pierangelo Chinello  1 , Vincenzo Galati  1 , Simone Topino  1 , Francesca Gavaruzzi  1 , Stefania Cicalini  1
Affiliations
Review

Brucellar Endocarditis of the Tricuspid Valve: A Case Report and Review of the Literature

Evangelo Boumis et al. Pathogens. .

Abstract

Brucellar endocarditis is a rare entity commonly described as a severe disease associated with high mortality and generally requiring valve surgery for cure. Right-sided endocarditis, a very uncommon presentation of brucellosis, may be associated with a better prognosis. We describe the case of a 72-year-old woman admitted to our institution with a persistent fever and multiple pulmonary infiltrates. Transthoracic echocardiography and serologic tests led to the diagnosis of brucellar tricuspid endocarditis. The patient responded favorably to antibiotic treatment alone and did not need surgery. Prolonged antibiotic therapy with a combination of drugs active on intracellular microorganisms in the absence of surgical treatment could be effective in brucellar tricuspid endocarditis when the valve is not severely damaged.

Keywords: antibiotic treatment; bacterial infections; brucella; endocarditis; foodborne infections; tricuspid valve.

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Conflict of interest statement

The authors declare no conflict of interests.

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