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. 1986 Jun;61(6):569–572. doi: 10.1136/adc.61.6.569

Cardiac manifestations in brucellosis.

M Lubani, D Sharda, I Helin
PMCID: PMC1777857  PMID: 3729526

Abstract

Cardiac involvement in childhood brucellosis is rare and when present mimics findings usually noted in acute rheumatic fever with carditis. We report five children aged 6 to 11 years. Echocardiography showed mitral valve vegetations in one, functional mitral valve incompetence in two, and sluggish myocardial function in one. All the patients presented with fever, arthralgia, and malaise, four of them had leucopenia, and all five showed relative lymphocytosis. Blood cultures grew Brucella melitensis, biotype 1 in four cases and type 2 in one. Treatment with oral tetracyclines over three weeks together with streptomycin over the first two weeks was successful in all the patients, including one in whom oral trimethoprim/sulphamethoxazole was first tried but was unsuccessful as the patient developed a relapse after two months.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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