Rothia dentocariosa endocarditis complicated by perivalvular abscess.
A 35-year-old man with a history of intravenous drug use developed endocarditis due to Rothia dentocariosa that was complicated by a perivalvular abscess. Despite combined medical and surgical treatment, abscess formation progressed following aortic valve replacement, and the patient died during a second operative procedure. This is the sixth case of Rothia dentocariosa endocarditis reported in the English-language literature, and to our knowledge, the only case in which a perivalvular abscess has been documented.
Sudduth
E J
EJ
Infectious Diseases Division, Medical University of South Carolina, Charleston 29425.
Rozich
J D
JD
Farrar
W E
WE
D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D000191:Actinomycetaceae / Q000302:isolation & purification*; D000193:Actinomycetales Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D001021:Aortic Valve / Q000601:surgery; D001705:Bioprosthesis; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D005839:Gentamicins / Q000627:therapeutic use; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D015819:Substance Abuse, Intravenous / Q000150:complications; D014640:Vancomycin / Q000627:therapeutic use
D005839:Gentamicins; D014640:Vancomycin