What are possible cardiovascular complications of brucellosis?

Updated: Apr 22, 2021
  • Author: Nicholas John Bennett, MBBCh, PhD, FAAP, MA(Cantab); Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Worldwide, endocarditis occurs in less than 2% of patients with brucellosis; however, in endemic areas, it may affect 7-10% of patients. The aortic valve is affected in 75% of patients, and 50% of affected valves were previously healthy. Endocarditis is responsible for most of the mortality associated with brucellosis.

Pericarditis, myocarditis, and mycotic aneurysms of the aorta and cerebral vessels may complicate endocarditis. Primary pericarditis and myocarditis are also reported and have a more favorable outcome.


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