Frontiers in Cardiovascular Medicine (Jun 2024)

Rothia dentocariosa endocarditis with brain abscess and splenic abscess: case report and brief review

  • Xue Zheng,
  • Fang Liu,
  • Qiaoli Ma,
  • Jing Li,
  • Huiping Ma

DOI
https://doi.org/10.3389/fcvm.2024.1370736
Journal volume & issue
Vol. 11

Abstract

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Rothia dentocariosa is a conditionally pathogenic bacterium that may cause infective endocarditis (IE) in selected patients and give rise to a variety of clinical complications, albeit it is not a common IE pathogen. We present the case of a patient diagnosed with Rothia dentocariosa-associated IE secondary to influenza B and thrombocytopenic purpura. The blood culture revealed Rochebacterium caries, cardiac ultrasound detected vegetation, while brain and spleen abscesses manifested and progressively deteriorated. Despite a suboptimal response to anti-infective therapy, the patient ultimately underwent aortic valve replacement. Discharge from the hospital was achieved upon control of the brain abscess and spleen abscess.

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