Rothia dentocariosa, endocarditis and mycotic aneurysms: case report and review of the literature

• Published in: Clinical microbiology and infection Vol. 9; no. 3; pp. 222 - 229
• Main Authors: Boudewijns, M., Magerman, K., Verhaegen, J., Debrock, G., Peetermans, W.E., Donkersloot, P., Mewis, A., Peeters, V., Rummens, J.L., Cartuyvels, R.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Elsevier Ltd 01-03-2003; Blackwell Science Ltd; Blackwell
• Subjects: Actinomycetales Infections - complications; Actinomycetales Infections - microbiology; Adolescent; Aneurysm, Infected - microbiology; Biological and medical sciences; Cardiology. Vascular system; Endocardial and cardiac valvular diseases; endocarditis; Endocarditis, Bacterial - complications; Endocarditis, Bacterial - microbiology; Female; Heart; Humans; Intracranial Aneurysm - microbiology; Medical sciences; Micrococcaceae - isolation & purification; mycotic aneurysm; Rothia dentocariosa; Subarachnoid Hemorrhage - microbiology; mycotic aneurysm; Rothia dentocariosa; endocarditis; Human; Mycotic aneurysm; Actinomycetaceae; Cardiovascular disease; Actinomycetales; Infection; Case study; Heart disease; Endocardial disease; Adolescent; Endocarditis; Bacteriosis; Bacteria; Complication; Actinomycetes; Bibliographic review
• ISSN: 1198-743X; 1469-0691
• DOI: 10.1046/j.1469-0691.2003.00503.x

Rothia dentocariosa is a rare cause of endocarditis. It occurs most frequently in patients with prior heart conditions. Although the clinical course is typically subacute, it has a high rate of complications. In particular, the reported incidence of mycotic aneurysms is as high as 25%. Penicillin is the treatment of choice, but additional complications may necessitate prompt surgical intervention. As far as we know, this paper reports the first case of repeated subarachnoid hemorrhages due to R. dentocariosa endocarditis.