Brucella infection associated with complete atrioventricular block

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dc.authorid0000-0001-9008-4997
dc.contributor.authorBilici, Meki
dc.contributor.authorDemir, Fikri
dc.contributor.authorYılmazer Muhtar, Murat
dc.contributor.authorBozkurt, Fatma
dc.contributor.authorTuzcu, Volkan
dc.date.accessioned2020-07-14T07:45:42Z
dc.date.available2020-07-14T07:45:42Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: The clinical spectrum of Brucella infection is quite diverse and characterized by multi-system involvement. Patients present with myocarditis, endocarditis, or pericarditis. Infective endocarditis is the most common cardiovascular complication in patients with brucellosis. Although conduction abnormalities are seen in cases with endocarditis, they are reported very rarely in the setting of cardiac Brucella infection. Case Report: An eight and a half-year-old male patient was referred to our clinic due to inadequate response to cotrimaxazole plus streptomycin treatment at the 15th day of admission. Although local hospital records on the patient showed a heart rate of 80 bpm, we determined a heart rate of 46 bpm. The electrocardiogram showed complete atrioventricular (AV) block. The average heart rate was determined as 48 bpm with 24-hour Holter electrocardiogram (ECG) monitoring. The echocardiographic examination showed normal-sized heart chambers and the absence of valvular involvement. An agglutination test for brucellosis was found to be positive with a titer of 1/320. High fever, arthralgia, and splenomegaly regressed following doxycycline plus rifampicin therapy, but there was no improvement in the AV block. A permanent pacemaker was implanted because of the detection of an average heart rate of 48 bpm. Conclusion: Because cardiac failure and rhythm abnormalities are reported in the course of Brucella infection and may be associated with significant outcomes, cases with brucellosis should be evaluated carefully in terms of cardiac involvement. This report aims to draw attention to complete AV block as an extremely rare complication of Brucella infection.
dc.identifier.citationBilici, M., Demir, F, Yılmazer Muhtar, M., Bozkurt, F. ve Tuzcu, V. (2016). Brucella infection associated with complete atrioventricular block. Balkan Medical Journal, 33(5), 556-558. https://dx.doi.org/10.5152/balkanmedj.2016.140684
dc.identifier.doi10.5152/balkanmedj.2016.140684
dc.identifier.endpage558
dc.identifier.issn2146-3123
dc.identifier.issn2146-3131
dc.identifier.issue5
dc.identifier.scopusqualityQ3
dc.identifier.startpage556
dc.identifier.urihttps://dx.doi.org/10.5152/balkanmedj.2016.140684
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5479
dc.identifier.volume33
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAves
dc.relation.ispartofBalkan Medical Journalen_US
dc.relation.publicationcategoryDiÄŸer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBrucella Infection
dc.subjectAtrioventricular Block
dc.subjectMyocarditis
dc.subjectChild
dc.titleBrucella infection associated with complete atrioventricular block
dc.typeEditorial

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