When is surgery indicated for the treatment 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

The main roles of surgery in patients with brucellosis lie in the treatment of endocarditis and in the drainage of pyogenic joint effusions or paraspinal abscesses. [62, 63]

Previously healthy native valves, diseased native valves, and prosthetic valvular structures have been involved in brucellosis. [64] Valvular lesions are typically large and destructive, regardless of the organism involved. Accordingly, valve replacement surgery is often recommended in addition to a prolonged course of antibiotics.


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