Author/Authors :
Sawaf, Bisher Department of Medical Education - Hamad Medical Corporation, Doha, Qatar , Kanjo, Wael Department of Medical Education - Hamad Medical Corporation, Doha, Qatar , Alabbas, Yasir Department of Medical Education - Hamad Medical Corporation, Doha, Qatar , Hatim, Ahmad Department of Medical Education - Hamad Medical Corporation, Doha, Qatar , Bedardeen, Unus K. Department of Cardiology - Heart Hospital - Hamad Medical Corporation, Doha, Qatar , Dabdoob, Wafer A. Department of Cardiology - Heart Hospital - Hamad Medical Corporation, Doha, Qatar
Abstract :
Implantable cardioverter defibrillator lead endocarditis due to Brucella melitensis is a rare and life-threatening complication of
brucellosis. Successful management requires a combination of medical treatment and device extraction. We present a case of
relapsing brucellosis manifested as infective endocarditis colonizing the lead of the implantable cardioverter defibrillator with
formation of vegetation on the lead. A 63-year-old male presented to the rehabilitation unit with hypotension. No other signs of
infection were noted. The patient had a history of drinking unpasteurized milk since childhood and a previous episode of
Brucella infective endocarditis. A transthoracic echocardiography showed an oscillating vegetation on the lead of the tip of the
right atrial ICD, and the blood cultures were positive for Brucella melitensis. Surgical removal of the device was infeasible, and
medical management was the only feasible option in this case.
Keywords :
Relapsed Brucellosis , Endocarditis , Vegetation , Implantable Cardioverter , Defibrillator Lead
