Table 1.

Brief summary of clinical and laboratory profiles of five cases studied.

Profile	Patient 1	Patient 2	Patient 3	Patient 4	Patient 5
Age in years	32	22	44	36	45
Sex	M	M	M	M	M
Exposure to farm animals	–	+	+	+	–
C/P	Cont fever 2 months, CHF	Fever 3 months, LVF, shock	Fever, SOB	Fever, SOB	Fever 2 months
Heart lesions	CRHD, severe MS, mild MR, severe PAH, S/P PTMC	Acyanotic CHD, ASD, VSD S/P patch closure, S/P MVR Carbomedic, PVE	CRHD, severe MS	AV abscess	Bicuspid aortic valve, severe aortic stenosis
Valve involved	MV	MV	MV	AoV	AoV
Blood C/S	B. melitensis	B. melitensis	B. melitensis	B. melitensis	B. melitensis
Brucella abortus	+	+	+	+	+
Rx	MM followed by elective PBMV	MM (awaiting MVR)	MM followed by elective valve replacement MVR	MM followed by elective valve replacement AVR	MM followed by elective valve replacement AVR
Outcome	Discharged	Death	Discharged	Discharged	Discharged