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Rothia dentocariosa endocarditis complicated by multiple intracranial hemorrhages.

J C Ricaurte¹, O Klein, V LaBombardi

¹Department of Medicine, Saint Vincent's Hospital and Medical Center of New York, NY 10011, USA.

Southern Medical Journal

|May 3, 2001

Summary

Rothia dentocariosa, a rare oral bacterium, can cause serious infections like endocarditis. This case highlights its potential for prolonged, multiple intracranial hemorrhages, a complication not previously documented.

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Area of Science:

Microbiology
Neurology
Infectious Diseases

Background:

Rothia dentocariosa is a gram-positive bacterium, typically part of oral microbiota.
While generally avirulent, it can cause subacute infective endocarditis.

Observation:

A patient developed infective endocarditis caused by Rothia dentocariosa.
This infection was complicated by sequential and prolonged intracranial hemorrhages.

Findings:

This is the first reported case of Rothia dentocariosa endocarditis with multiple, sequentially developing intracranial hemorrhages.
The intracranial hemorrhages were unusually prolonged.

Implications:

This case expands the known spectrum of Rothia dentocariosa-associated neurological complications.

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Highlights the need for vigilance regarding intracranial bleeding in patients with Rothia dentocariosa endocarditis.