IJCRR - 5(16), August, 2013
Pages: 35-37
A COMPLICATED BANG’S DISEASE - CASE REPORT
Author: Sunny D.A.N., Amirtha B.G., Tevethia H.V., Kadavanu T., Panchbhaya R., Siva P.K., Somasundsaram S.
Category: Healthcare
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Abstract:
An uncommon organism or IE at an uncommon site is sufficient to create a diagnostic concondrum. Since its signs and symptoms are nonspecific, getting an absolute etiological diagnosis becomes a herculean task. A 45 year old man presented with fever, drenching sweats, right shoulder pain, low back ache and weight loss for 9 months. He gives history of travel to the middle east and was a gardener by occupation. H/O Ingestion of Unpasteurized milk was present. H/O rearing farm animals in middle east was present. Blood cultures were negative, 2D echo and Trans esophageal echo confirmed the presence of vegetations, So with the specific history IgM antibody for Brucella melitensis was done and showed positive. The titres showed 1:320. A Lumbosacral and Hip X-ray showed Sacroilitis. He was started on streptomycin and doxycycline. After 1 week he developed acute onset of breathlessness subsequently went to cardiogenic shock and was diagnosed to have rupture of sinus of valsalva and acute aortic regurgitation. He was immediately taken up for surgery for valve replacement. He is doing well on subsequent post operative follow ups. The purpose of presenting this case report is that, brucellosis is very rare and is an even rarer cause of endocarditis in our country. It also signifies the importance of detailed history taking in terms of travel and occupational history. Brucella accounts for 2% of all IE cases. We here present a case diagnosed as brucella endocarditis, who had later landed up in complications.
Keywords: Brucellosis, Endocarditis
Citation:
Sunny D.A.N., Amirtha B.G., Tevethia H.V., Kadavanu T., Panchbhaya R., Siva P.K., Somasundsaram S.. A COMPLICATED BANG’S DISEASE - CASE REPORT International Journal of Current Research and Review. 5(16), August, 35-37
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