Journal of Critical and Intensive Care 2023 , Vol 14, Issue 2
Alveolar Hemorrhage, Intracranial Bleeding, and Infective Endocarditis in A Young Case of Brucellosis
Hülya Deniz MISIR 1 ,Nalan DEMIR 1 ,Bahadır BENLI 2
1Ankara Bilkent City Hospital, Department of Intensive Care, Ankara, Turkey
2Ankara Bilkent City Hospital, Department of Chest Diseases, Ankara, Turkey
DOI : 10.37678/dcybd.2023.3333 Brucellosis is a common zoonosis, caused by facultative intracellular, gram-negative rod-shaped bacteria. More than 500,000 new human cases are reported annually, and unreported cases are estimated to be 10 to 25 times more. It’s a treatable disease, mortality rates are low even in untreated patients (2%). Here we present three fatal conditions due to brucellosis in a case: severe aortic valve insufficiency related to infective endocarditis, hemorrhagic cerebral embolism, and alveolar hemorrhage. In this case, brucellosis, known as a chronic, treatable disease, resulted in death weeks after the first admission to the outpatient clinic in another hospital with the first symptoms associated with infective endocarditis. We present this case as it exemplifies the urgency and severity of the timing of valve surgeries required for infective endocarditis. Keywords : Brucellosis, infective endocarditis, alveolar hemorrhage, cerebrovascular hemorrhage, surgery timing