Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Brucellosis is a zoonosis with worldwide distribution, which is particularly endemic in many countries of the Mediterranean basin. Cardiovascular complications of this disease, such as endocarditis, myocarditis and pericarditis, ar...

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Main Authors: Karanikas Konstantinos, Stefos Aggelos, Gabranis Ioannis, Makaritsis Konstantinos P, Gatselis Nikolaos K, Dalekos George N
Format: Article
Language:English
Published: BMC 2011-01-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/22
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author Karanikas Konstantinos
Stefos Aggelos
Gabranis Ioannis
Makaritsis Konstantinos P
Gatselis Nikolaos K
Dalekos George N
author_facet Karanikas Konstantinos
Stefos Aggelos
Gabranis Ioannis
Makaritsis Konstantinos P
Gatselis Nikolaos K
Dalekos George N
author_sort Karanikas Konstantinos
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Brucellosis is a zoonosis with worldwide distribution, which is particularly endemic in many countries of the Mediterranean basin. Cardiovascular complications of this disease, such as endocarditis, myocarditis and pericarditis, are very rare, with even fewer cases of myocarditis or asymptomatic pericardial effusion in the absence of concomitant endocarditis being reported.</p> <p>Case presentation</p> <p>We report two cases of brucellosis in two Caucasian men, aged 17 and 34 years old, with myocarditis and asymptomatic pericardial effusion, respectively. Of note, neither patient had concomitant endocarditis. The disease was confirmed serologically and by blood cultures. Both patients recovered completely after receiving appropriate antibiotic treatment without any sign of relapse during a follow-up of 12 months.</p> <p>Conclusion</p> <p>These two cases emphasize that in endemic areas <it>Brucella </it>can be considered as a potentially causative agent of idiopathic pericardial effusion or myocarditis, even in the absence of concomitant endocarditis. This possibility could be taken into account particularly in cases where contraction of brucellosis is possible, such as occupational exposure or consumption of unpasteurized dairy products.</p>
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spelling doaj.art-bb32d7e2f6a748fbab30cfd2946cde952022-12-21T19:13:03ZengBMCJournal of Medical Case Reports1752-19472011-01-01512210.1186/1752-1947-5-22Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literatureKaranikas KonstantinosStefos AggelosGabranis IoannisMakaritsis Konstantinos PGatselis Nikolaos KDalekos George N<p>Abstract</p> <p>Introduction</p> <p>Brucellosis is a zoonosis with worldwide distribution, which is particularly endemic in many countries of the Mediterranean basin. Cardiovascular complications of this disease, such as endocarditis, myocarditis and pericarditis, are very rare, with even fewer cases of myocarditis or asymptomatic pericardial effusion in the absence of concomitant endocarditis being reported.</p> <p>Case presentation</p> <p>We report two cases of brucellosis in two Caucasian men, aged 17 and 34 years old, with myocarditis and asymptomatic pericardial effusion, respectively. Of note, neither patient had concomitant endocarditis. The disease was confirmed serologically and by blood cultures. Both patients recovered completely after receiving appropriate antibiotic treatment without any sign of relapse during a follow-up of 12 months.</p> <p>Conclusion</p> <p>These two cases emphasize that in endemic areas <it>Brucella </it>can be considered as a potentially causative agent of idiopathic pericardial effusion or myocarditis, even in the absence of concomitant endocarditis. This possibility could be taken into account particularly in cases where contraction of brucellosis is possible, such as occupational exposure or consumption of unpasteurized dairy products.</p>http://www.jmedicalcasereports.com/content/5/1/22
spellingShingle Karanikas Konstantinos
Stefos Aggelos
Gabranis Ioannis
Makaritsis Konstantinos P
Gatselis Nikolaos K
Dalekos George N
Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature
Journal of Medical Case Reports
title Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature
title_full Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature
title_fullStr Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature
title_full_unstemmed Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature
title_short Unusual cardiovascular complications of brucellosis presenting in two men: two case reports and a review of the literature
title_sort unusual cardiovascular complications of brucellosis presenting in two men two case reports and a review of the literature
url http://www.jmedicalcasereports.com/content/5/1/22
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