Streptococcus mutans infective endocarditis complicated by vertebral discitis following dental treatment without antibiotic prophylaxis.
We report what we believe is the first reported case of Streptococcus mutans endocarditis complicated by vertebral discitis. The case is particularly interesting and topical as it occurred in a patient with pre-existing cardiac valvular disease who had recently had a dental procedure without antibiotic prophylaxis following a dramatic shift in the UK guidelines.
Biswas
Sujata
S
Department of Acute General Medicine, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Bowler
Ian C J W
ICJW
Department of Microbiology, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Bunch
Christopher
C
Department of Acute General Medicine, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Prendergast
Bernard
B
Department of Cardiology, John Radcliffe Hospital, Oxford OX3 9DU, UK.
Webster
Daniel P
DP
Department of Microbiology, John Radcliffe Hospital, Oxford OX3 9DU, UK.
D000368:Aged; D019072:Antibiotic Prophylaxis; D015299:Discitis / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008297:Male; D009057:Stomatognathic Diseases / Q000150:complications / Q000628:therapy*; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000382:microbiology; D013295:Streptococcus mutans / Q000302:isolation & purification*; D006113:United Kingdom