Brucella infection presenting as infective endocarditis complicated by embolic stroke

• DOI: 10.1016/j.idcr.2024.e01937
• Publication Date: 2024-04-02T16:35:47Z
• Authors: Abdalla Fadul; Mohamed H. Fadul; Gokhan Demir; Mohamad Safieh; Ahamed Lebbe; Fatema Falamrz; Abdelaziz Mohamed; Nabiel Hamad; Raza A. Akbar
• Keywords: Stroke; Infective Endocarditis; Malaise

Brucellosis (undulant fever) is a zoonotic infection caused by Brucella species. It typically presents with fever, malaise, night sweats, and arthralgia. One of its rare complications infective endocarditis, which occurs in approximately 1.3% patients can be further complicated embolic stroke. This report describes occurrence endocarditis presenting as an A 34-year-old male presented sudden left-sided weakness fever. He reported headaches, generalized the preceding week. The patient worked on farm hence had animal contact. neurological exam showed facial weakness, power 0/5 1/5 left upper lower extremities, respectively. CT scan head revealed right middle cerebral artery (MCA) territory infarct penumbra MCA occlusion. underwent thrombectomy successful recanalization. However, he continued to have fever high inflammatory markers. Echocardiography aortic valve vegetation blood cultures grew melitensis. multidisciplinary meeting was held determine optimal management, included course rifampicin doxycycline.