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Rothia dentocariosa causing intracranial mycotic aneurysm and ischaemic stroke
Eli Kisilevsky1, Nataly Pesin1, Daniel Mandell2
1Ophthalmology and Vision Sciences, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
Abstract:
We describe a case of subacute bacterial endocarditis and mycotic brain aneurysm caused by Rothia dentocariosa due to untreated dental caries. R. dentocariosa is a rare cause of endocarditis that has a high incidence of aneurysmal and haemorrhagic complications. All patients with intracranial aneurysms who have signs of systemic infection should be considered to have mycotic aneurysms until proven otherwise. Dental habits should be included in regular medical assessment and dental care should be considered for patients presenting with infectious symptoms.
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