FEVER SYNDROME - MYOCARDITIS AND BRUCELLO SIS

A 20 year-old white man was admitted with fever and weight loss since 60 days previous to his admission and cardiac failure (functional clas s IV). The heart was enlarged in the echocardiographic examination wit hout valvular involvement. Liver biopsy showed granulomatous hepatitis with a necrosis focus. The patient was treated with a combination of venous dilators and digital. Serum agglutination test for Brucella sho wed a titer of 1/250, and complement fixation 1/40. Seven days later, agglutination titer was 1/4000. He was treated with rifampin and trime thoprimsulfametoxazol. He got better; fever disappeared, and the signs of cardiac failure improved. Brucellosic myocarditis is an uncommon c omplication of brucellosis in the absence of endocarditis. In our know ledge, this case would be the first reported in Argentina and the thir d in adult patients out of the five cases reported worldwide.