Question of the Week

Question :

Posted On : 26 Apr 2006

Treatment of infective endocarditis in brucellosis

Expert Answer :

No expert answer available.

Answer Discussion :

pediatriconcall

Infective endocarditis is a rare complication of brucellosis and reported in 2 Percent cases of brucella. Treatment consists of urgent surgery with valve replacement if the patient is unstable hemodyanically. In patients, with hemodynamic stability, brucellosis can be treated with appropriate antibiotics.

18 years ago

H C BHATT

a fatal complication of brucellosis-antibiotics used are doxy-streptomycin-rifampicin-tetracycline:-but in pediatric age group doxy ,tetra should be avoided and septran Plus aminoglycoside Plus rifampin can be used ,use of steroids in endocarditis remains controversial-surgical mamagement to replace valves is also needed at times with medical management.nowadays both medical as well as surgical tretment side by side are recommended keeping in view the mortality associated with endocarditis.

18 years ago

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