敗血症性ショックと心原性ショックを合併したブルセラ補綴弁心内膜炎

Brucella prosthetic valve endocarditis with septic and cardiogenic shock.

• Amal Hamieh
• Mohamad Hamieh

抄録

大動脈補綴弁置換術を受けた若年男性が長引く発熱を呈し，経胸腔エコー検査で高力価のブルセラカプト陽性血清検査を行った結果，ブルセラ心内膜炎と診断された．ドキシサイクリンとリファンピンによる内科的治療が開始され，ゲンタマイシンとセフトリアキソンが追加され，外科的介入が予定されていた．残念ながら、手術前に敗血症性ショックを伴う心原性を発症し、入院後24時間以内に死亡した。

A young man with aortic prosthetic valve replacement, presented with prolonged fever and diagnosed with brucella endocarditis based on positive transthoracic echo findings with high titer positive brucellacapt serology. He was started on medical treatment with doxycycline and rifampin to which gentamicin and ceftriaxone were added and he was planned for surgical intervention. Unfortunately, the patient developed cardiogenic with septic shock before performing surgery and died within 24 h soon after admission.

© 2020 Published by Elsevier Ltd.