Brucella endocarditis
Keywords:
Brucella, Endocarditis, Transient monoclonal gammopathyAbstract
Brucella Endocarditis require a high index of suspicion for a proper
diagnosis and management. Although rare occurring – depending
of the series presented, in less of 2% of patients with Brucellosis
– is the most devastating complication being responsible up to
80% of deaths. Normally it is the aortic valve the most commonly
affected (75%) followed by mitral valve. Despite medical treatment, cardiac surgery with valve replacement is usually needed.
The authors report a case of mitral valve Brucella Endocarditis
in a 42-year-old man with stroke and transient monoclonal
gammopathy sucessuly treated only with medical treatment.
Is discussed the duration and doses of medical treatment and
the Brucella Endocarditis-transient monoclonal gammopathy
association based in the literature.
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