Brucellosis is a zoonotic disease endemically seen in Turkey, which occurs with various clinical findings. Brucella endocarditis is associated with high morbidity and mortality. It can lead to complications affecting many systems. Endocarditis is an infrequent, but serious complication of brucellosis. 32- years- old famale patient was admitted to our emergency department complaining with ongoing fever 8 days, dyspnea, and fatigue. There wasn’t diseases known his history. She had recently consumed fresh cheese. On his physical examination, 38.8°C fever was noted and blood pressure 110/60 mmHg, heart rate 92 beats/min, were rhythmic. The number of white blood cell count (WBC) and C-reaktive protein (CRP) level were found 18,000/mm3 and 152 mg/dl, respectively. Brucella agglutination titer was positive at 1/320. B. Melitensis was isolated from blood cultures in the eighth day. İn her transthoracic echocardiography showed rheumatic mitral valve, severe mitral regurgitation, and a 24×16 mm in diameter on the movable cover vegetation on the mitral valve. The patient was consulted with infectious diseases and cardiovascular surgery, medical treatment was started and surgical operation was planned.
