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Native valve endocarditis complicated by abscess formation caused by Rothia mucilaginosa

S Haddad1, Y Saade2, B Ramlawi3

  • 1Infectious Disease division, Thomas Jefferson University Hospital, Philadelphia, PA, United States.

Idcases
|December 1, 2021
PubMed

Insights

Rothia mucilaginosa is an emerging pathogen causing endocarditis, particularly prosthetic valve endocarditis. This case highlights a rare R. mucilaginosa native valve endocarditis complicated by abscess requiring surgery.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • Rothia mucilaginosa is an emerging pathogen increasingly linked to endocarditis.
  • It is predominantly associated with prosthetic valve endocarditis.
  • Previous native valve endocarditis cases typically resolved with medical management.

Observation:

  • This report details a unique case of R. mucilaginosa native valve endocarditis.
  • The patient presented with complications, including abscess formation.
  • Surgical intervention was necessary for this severe presentation.

Findings:

  • Rothia mucilaginosa can cause severe native valve endocarditis with abscess formation.
  • Unlike previous reports, medical treatment alone was insufficient.
  • Surgical intervention proved necessary for successful management.

Implications:

  • This case expands the understanding of R. mucilaginosa pathogenicity in native valves.
  • It underscores the potential for severe complications, necessitating surgical consideration.
  • Further research into R. mucilaginosa native valve endocarditis is warranted.
Keywords:
Aortic root abscessEndocarditisNative valveR.mucilaginosa

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