BÖBREK DALAK VE PERİFERİK ARTERİYEL SEPTİK EMBOLİ İLE KOMPLİKE OLAN BRUSELLA PROSTETİK KAPAK ENDOKARDİTİ: OLGU SUNUMU

Gunumuzde enfektif endokardit hala morbidite ve mortalite yonunden yuksek risk tasimaktadir. Tedavide olumlu sonuc alinabilmesi icin hizli teshis, etkili tedavi ve komplikasyonlarin taninmasi gereklidir. Ancak cogu zaman spesifik tani konulup etkili tedavi baslanana kadar zaman kaybedilmektedir. Enfektif endokardit tanisi icin yapilan kan kulturu testi, streptokok ve stafilokok gibi nonspesifik organizmalari icine alan organizmalar icin kullanilmaktadir. Eger brusella gibi spesifik bir organizma enfektif endokarditten sorumlu ise klinisyen taniya ulasmak icin hastanin semptomlarindan suphelenmelidir. Bu semptomlar nonspesifik brusellozis semptomlari olabilecegi gibi enfektif endokardite ve sebep oldugu komplikasyonlara bagli septomlar da olabilir. Bu makalede visseral ve periferik arteryel emboli ile prezente olan ve etkeni Brusella Melitensis olan enfektif endokarditli bir hasta uzerinde durulacaktir. Anahtar Kelimeler: Brusella, Endokardit, Protez Kapak BRUCELLA PROSTHETIC VALVE ENDOCARDITIS COMPLICATED BY SEPTIC EMBOLISM OF THE RENAL, SPLENIC, AND PERIPHERIC ARTERY: A CASE REPORT Infective endocarditis still carries a high risk of morbidity and mortality in the current era. Rapid diagnosis, effective treatment, and prompt recognition of complications are essential for a good patient outcome. However, time is usually wasted until the specific diagnosis is made and effective treatment is started. Blood culture, the diagnostic test used in infective endocarditis, has been more commonly used for nonspecific organisms, including streptococci and staphylococci. If a specific organism like brucella is responsible for infective endocarditis, the clinician should be suspicious of the patient’s symptoms to obtain an exact diagnosis. These symptoms can be not only the nonspecific brucellosis symptoms but also the symptoms related to infective endocarditis and its complications. This article focuses predominantly on a patient with infective endocarditis caused by Brucella melitensis. Key words: Brucellosis, Endocarditis, Prosthetic Valve