Brucella endocarditis requires combined medical and surgical management, but reinfection of prosthetic valves remains a significant risk during follow-up.
Introduction: Brucella endocarditis, although an uncommon complication of brucellosis, is the main cause of the mortality related to this disease. The best therapy is a combination of antibiotic administration with valve replacement. After treatment of the first episode of endocarditis, new infection may be occurred as a relapse or reinfection. Case Presentation: In this report, we described a patient with brucella endocarditis complicated with a reinfection of the mechanical prosthetic valve after one year of follow-up. Conclusions: Both medical and surgical management should be done for better treatment of brucella endocarditis. Repeat infection is a problem during follow-up.
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Dohaei et al. (2016) studied this question.
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