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A rare report of Rothia dentocariosa endocarditis
Sherif Elkattawy1, Ramez Alyacoub1, Islam Younes1
1Department of Internal Medicine, Rutgers New Jersey Medical School/Trinitas Regional Medical Center Program, Elizabeth, NJ, USA.
Summary
Rothia dentocariosa, a bacteria usually found in the mouth, caused endocarditis in a patient without typical risk factors. This case highlights rare instances of Rothia dentocariosa Endocarditis, requiring antibiotic treatment.
Area of Science:
- Microbiology
- Infectious Diseases
- Cardiology
Background:
- Rothia species are Gram-positive bacteria, commonly part of the oral and respiratory tract microbiome.
- First identified in 1967 from dental caries, Rothia species are generally considered commensal flora.
Observation:
- A 69-year-old male presented with a thickened mitral valve anterior leaflet and a vegetation, detected via Transthoracic echocardiogram.
- The patient had no pre-existing risk factors typically associated with bacterial endocarditis.
Findings:
- Blood cultures identified pan-sensitive Rothia dentocariosa as the causative agent.
- The patient was successfully treated with a prolonged course of antibiotics.
Implications:
- This case contributes to the scarce clinical data on Rothia dentocariosa Endocarditis.
- It underscores the importance of considering less common pathogens in infective endocarditis, even in patients without traditional risk factors.
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