First reported case of Rothia dentocariosa spondylodiscitis in an immunocompetent patient
Jean-Marc Schwob,
Violène Porto,
Sigiriya Aebischer Perone,
Christian Van Delden,
Gilles Eperon,
Alexandra Calmy
Affiliations
Jean-Marc Schwob
Division of Tropical and Humanitarian Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland; Corresponding author at: Division of Tropical and Humanitarian Medicine, Geneva University Hospitals, 6 Rue Gabrielle-Perret-Gentil, 1205, Geneva, Switzerland.
Violène Porto
Department of Internal Medicine, Rehabilitation and Geriatrics, Internal Medicine Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland
Sigiriya Aebischer Perone
Division of Tropical and Humanitarian Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland
Christian Van Delden
Division of Infectious Diseases, Transplant Infectious Diseases Unit, University Hospitals and University of Geneva, Geneva, Switzerland
Gilles Eperon
Division of Tropical and Humanitarian Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland
Alexandra Calmy
Division of Infectious Diseases, HIV Unit, University Hospitals and University of Geneva, Geneva, Switzerland
Rothia dentocariosa is part of the normal human oropharyngeal microflora and is frequently associated with dental caries and periodontal disease. Invasive disease has been described essentially in immunocompromised hosts and/or patients with underlying conditions as predisposing factors. We present a case of an otherwise healthy 46-years old male with spondylodiscitis caused by this pathogen. Treatment with ceftriaxone and rifampin was successful. To our knowledge, this is the first R. dentocariosa spondylodiscitis reported in an immunocompetent patient, and the second one in the literature overall. Keywords: Rothia dentocariosa, Spondylodiscitis, Bacteremia, Osteomyelitis
