Aortic Valve Endocarditis. A Rare Presentation of Brucellosis

Brucellosis is an extremely important disease around the world, especially in developing countries. Its clinical manifestations and severity vary with the patient population studied and the species of Brucella involved. Endocarditis is a rare focal complication of brucellosis but the most common cause of mortality. We present a 35 year old man with brucellosis of Aortic valve with complete destruction of valve. Diagnosis was confirmed with echocardiography and surgery was done with excision of infected valve and aortic valve replacement was done. Endocarditis was very uncommon presentation of brucellosis and aortic valve is the most common site for infection. Treatment was surgical and antimicrobial therapy, and mortality without treatment is very high.