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

Shashank Purwar; Sharada C. Metgud; Shankar G. Karadesai; Mahantesh B. Nagamoti; Arathi Darshan; Shreshtha Tiwari

doi:10.4103/JLP.JLP_12_17

Journal of Laboratory Physicians, Table of Contents

CC BY-NC-ND 4.0 · J Lab Physicians 2017; 9(04): 340-342
DOI: 10.4103/JLP.JLP_12_17

Case Report

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

Authors

Shashank Purwar

Department of Microbiology, Jawaharlal Nehru Medical College and KLE Charitable Hospital and Medical Research Center, Belgaum, Karnataka, India
Sharada C. Metgud

Department of Microbiology, Jawaharlal Nehru Medical College and KLE Charitable Hospital and Medical Research Center, Belgaum, Karnataka, India
Shankar G. Karadesai

Department of Microbiology, Jawaharlal Nehru Medical College and KLE Charitable Hospital and Medical Research Center, Belgaum, Karnataka, India
Mahantesh B. Nagamoti

Department of Microbiology, Jawaharlal Nehru Medical College and KLE Charitable Hospital and Medical Research Center, Belgaum, Karnataka, India
Arathi Darshan

Department of Medicine, Jawaharlal Nehru Medical College and KLE Charitable Hospital and Medical Research Center, Belgaum, Karnataka, India
Shreshtha Tiwari

Department of Microbiology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India

Abstract

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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.

Key words

Brucella - endocarditis - septicemia - splenic abscess

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References

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