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

Abstract 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,...

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Bibliographic Details
Published in:Journal of laboratory physicians 2017-10, Vol.9 (4), p.340-342
Main Authors: Purwar, Shashank, Metgud, Sharada C., Karadesai, Shankar G., Nagamoti, Mahantesh B., Darshan, Arathi, Tiwari, Shreshtha
Format: Article
Language:English
Subjects:
Antibiotics
brucella
Brucellosis
Case Report
Case studies
Cattle
Complications and side effects
Diagnosis
Differential diagnosis
Endocarditis
Fever
Hospitals
Immunoglobulins
Infections
Laboratories
Medical research
Methods
Patient outcomes
Research centers
Sepsis
Septicemia
splenic abscess
Splenic diseases
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Summary:Abstract 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.
ISSN:0974-2727
0974-7826
DOI:10.4103/JLP.JLP_12_17