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Journal of Rare Cardiovascular Diseases
ISSN: 2299-3711 (Print)
e-ISSN: 2300-5505 (Online)
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A rare cardiac manifestation of Brucellosis (RCD code: VIII)
Bilal Hussain
,  
Fateh Ali Tipoo Sultan
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Abstract
Brucellosis, a zoonosis caused by Gram‑negative coccobacilli Brucella, is characterized by a systemic illness with vague symptoms. Though, cardiac involvement with Brucella is reported mostly as endocarditis, the occurrence of exclusive Brucella constrictive pericar ditis without endocardium involvement is extremely rare. We report a case of a young patient from a countryside, who presented with low‑grade fever, dyspnea and malaise with signs of right heart failure. He was diagnosed with constrictive pericarditis on 2‑D echocar diogram and the diagnosis was confirmed by cardiac magnetic resonance. Pericardiectomy was performed to relieve pericardial con striction. The patient, however, continued to have low‑grade fever and lethargy. A workup for chronic infections revealed strongly posi tive titers for Brucella, indicating that the patient was suffering from systemic brucellosis. The patient was treated with combination of antibiotics for six weeks and responded well to the treatment. The case highlights the fact that brucellosis has a wide array of clinical presentations and may present as an isolated exclusive constrictive pericarditis. The diagnosis of brucellosis should always be considered in patients presenting with chronic fever and a history of animal contact
Keywords
brucellosis, constrictive pericarditis, cardiac magnetic resonance imaging
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Keywords
Classification of Rare Cardiovascular Diseases anticoagulation atrial fibrillation atrial septal defect cardiomyopathy computed tomography congenital heart disease echocardiography electrocardiogram electrocardiography heart failure implantable cardioverter‑defibrillator magnetic resonance imaging pregnancy pulmonary arterial hypertension pulmonary hypertension rare cardiovascular disease rare disease right heart catheterization right ventricular failure
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