Brucella endocarditis. Report of one case and review of the literature.

We report a case of brucella endocarditis on a native aortic valve causing severe aortic regurgitation, uncontrolled heart failure and disseminated intravascular coagulopathy. The diagnosis was proven by positive serology, isolation of Brucella melitensis from preoperative blood cultures and excised valve. The patient was successfully treated with valve replacement and specific antibiotic therapy.