Open AccessTriad of infective endocarditis, splenic abscess, and septicemia caused by Brucella melitensis
Author(s) -
Shashank Purwar,
Sharada C Metgud,
Shankar G Karadesai,
Mahantesh B Nagamoti,
Arathi Darshan,
Shreshtha Tiwari
Publication year - 2017
Publication title -
journal of laboratory physicians
Language(s) - English
Resource type - Journals
eISSN - 0974-7826
pISSN - 0974-2727
DOI - 10.4103/jlp.jlp_12_17
Subject(s) - brucella melitensis , infective endocarditis , endocarditis , brucellosis , medicine , microbiology and biotechnology , brucella , virology , biology , surgery
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.