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In view of the prolonged fever and calcified aortic valve with mild aortic stenosis, a transoesophageal echocardiogram was performed, which showed small vegetation noted on right coronary cusp about 2.2\u2005mm with free independent mobility. Blood culture was positive for <jats:italic>Brucella<\/jats:italic> spp from all the three venepuncture sites. Medical therapy for brucellosis was given with ciprofloxacin, doxycycline, co-trimoxazole and streptomycin, resulting in complete recovery. Brucella endocarditis is a rare, mostly ignored and missed clinical infection. It requires a high index of clinical suspicion for prompt diagnosis and treatment.<\/jats:p>","DOI":"10.1136\/bcr-2014-203555","type":"journal-article","created":{"date-parts":[[2014,9,19]],"date-time":"2014-09-19T08:12:33Z","timestamp":1411114353000},"page":"bcr2014203555","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Brucella endocarditis in a non-endemic area presenting as pyrexia of unknown origin"],"prefix":"10.1136","volume":"2014","author":[{"given":"Vivek Vilas","family":"Manade","sequence":"first","affiliation":[{"name":"Department of Medicine, Padmashree Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun","family":"Kakrani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Padmashree Dr. D. Y. 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