A case of prosthetic mitral valve Brucella endocarditis complicated with torsades de pointes
| Autor: | Şennur Ünal Dayi, Hale Yilmaz, Nazmiye Çakmak, Kemal Yeşilçimen, Funda Kocak, Hüsnü Atmaca, Azmi Ozler, Arif Tarhan, Sait Terzi, Nurten Sayar |
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| Rok vydání: | 2006 |
| Předmět: |
Reoperation
Aortic valve medicine.medical_specialty Prosthesis-Related Infections Torsades de pointes QT interval Brucellosis Torsades de Pointes Internal medicine Mitral valve medicine Humans Endocarditis business.industry Endocarditis Bacterial Middle Aged medicine.disease Brucella Surgery Cardiac surgery medicine.anatomical_structure Heart Valve Prosthesis cardiovascular system Cardiology Mitral Valve Female Cardiology and Cardiovascular Medicine Complication business Echocardiography Transesophageal |
| Zdroj: | Heart and Vessels. 21:331-333 |
| ISSN: | 1615-2573 0910-8327 |
| DOI: | 10.1007/s00380-006-0907-3 |
| Popis: | Brucella endocarditis is a zoonosis transmitted by contaminated dairy products. Endocarditis is a rare complication of brucellosis and mainly the aortic valve is infected. We present the case of a female patient with prosthetic mitral valve endocarditis associated with QT prolongation and torsades de pointes. Transesophageal echocardiography revealed vegetation on both anterior and posterior mitral annulus. She was seropositive with Brucella agglutination titers of up to 1/320. The QT interval was markedly prolonged upon admission (QTc 530 ms). She experienced torsades de pointes several times. She underwent reoperation under an appropriate antibiotic regimen. She continued on triple antibiotic therapy for 12 months. She is now well and free of symptoms. |
| Databáze: | OpenAIRE |
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