A fatal case of systemic brucellosis
Gupta, S.; Varadarajulu, R.; Mehta, S.R.; Jaswal, D.S.; Mehdi, S.; Kumar, K.; Mishra, A.
Journal of the Association of Physicians of India 49: 1200-1202
2001
ISSN/ISBN: 0004-5772 PMID: 11996446 Document Number: 530617
A 65 years man presented with fever, drenching sweats, progressive dyspnoea, backache and weight loss. On examination, he had wide pulse pressure, clubbing, retinal hemorrhages, aortic and mitral regurgitation, hepatosplenomegaly, lower spinal tenderness and bilateral basal crepitations. Transthoracic 2D-echocardiography showed a large vegetation on the aortic valve. Antibody titers for brucella were positive. X-ray spine was suggestive of brucella spondylitis. Early surgical intervention was planned and the patient was given combination antibiotic therapy. The course was complicated by renal failure and the patient succumbed while being taken up for surgery.