A Case of Relapsed Brucellosis Progressing with Cardiac Tamponade

As a zoonotic infection widely seen in the world, brucellosis is also seen in our region endemically. Cardiovascular involvement is a rare complication and primary pericarditis is even rarer. In this report, it was aimed to present an 80-year-old female patient who presented with complaints including fever and chest pain that started a month ago and who was found to have pericardial effusion and cardiac tamponade. The patient had brucella standard tube agglutination positivity and was strated rifampicin and doxycycline therapy. When toxic hepatitis developed in thefi rst month of treatment, the therapy was replaced with trimethoprim-sulfamethoxazole and ciprofl oxacin. The patient was given treatment for three months in total. She was administered subxiphoida lpericardial tube drainage due to cardiac tamponade. The patient’s complaints regressed from the third day of therapy and a decrease was found in the pericardial effusion in her echocardiography. At the end of the treatment, she had full recovery as per her clinical, laboratory, and echocardiography results. It should be born in mind that brucellosis may lead to pericarditis and even cardiac tamponade in regions where it is seen endemically