Brucella endocarditis complicated with mycotic aneurysm of anterior tibial artery: A rare dual combination

Brucellosis has a typical presentation of prolonged fever, malaise, night sweats and arthralgia. Brucella Endocarditis (BE) is the leading cause of mortality and is one of the unusual complications of brucellosis. A high index of suspicion is required for timely diagnosis. Diagnosis is often missed or delayed, due to non-specific and varied presentation. Early initiation of appropriate antibiotic regimens, often combined with surgical intervention can improve survival rates in BE. This case highlights the rare occurrence of concomitant BE of native aortic valve and pseudoaneurysm of the anterior tibial artery. There is a paucity of case reports in literature, describing mycotic aneurysms of the anterior tibial artery secondary to brucellosis.