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Eur J Cardiothorac Surg 1998;13:95-97
© 1998 Elsevier Science NL

Case report

Brucella endocarditis of the aortic valve

Cardiothoracic Surgery, University Hospital Coimbra, 3049 Coimbra Codex, Portugal

Received 10 June 1997; accepted 5 November 1997.

Corresponding author. Tel.: +351 39 400418; fax: +351 39 29674.

Brucella endocarditis was diagnosed in two patients with acute renal failure. Both patients had major aortic insufficiency, congestive cardiac failure and clinical and laboratory signs of an active infection, although adequate antibacterial therapy had already been introduced. Replacement of the aortic valve, together with the aortic root in one of the cases, were carried out as emergency procedures, followed by antibacterial treatment with rifampicin, doxycycline and co-trimoxazole. Both patients left the hospital cured and are well 2.5 and 2 years after the surgery, respectively.

Key Words: Brucella endocarditis • Valve replacement • Aortic valve endocarditis

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