Brucellosis After Cardiac Transplantation.

Nair, Vinitha V; Appukuttan, Murali; Narayan, Kiran Vishnu; Nair, Jayakumar Thanathu Krishnan · Ann Thorac Surg · 2019

case_report · Level V

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Abstract

Brucellosis is being increasingly recognized after solid organ transplantation but has not been reported after orthotopic heart transplantation. We present the case of a 51-year-old farmer who underwent orthotopic heart transplantation and was readmitted after 3 months in a severely immunosuppressed state with significant nonspecific complaints. He posed a diagnostic and management dilemma to all disciplines, but finally turned out to be harboring Brucella infection. He responded well to medical management and was discharged in a stable clinical status. Although rare, brucellosis should be included in the investigative workup for nonspecific symptoms after cardiac transplantation.

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