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Case Reports
. 2014 Sep-Oct;18(5):561-4.
doi: 10.1016/j.bjid.2014.05.001. Epub 2014 Jun 4.

Rothia aeria endocarditis in a patient with a bicuspid aortic valve: case report

Antonio Carlos Nicodemo  1 , Luiz Guilherme Gonçalves  2 , Fatuma Catherine Atieno Odongo  2 , Marines Dalla Valle Martino  3 , Jorge Luiz Mello Sampaio  4
Affiliations
Case Reports

Rothia aeria endocarditis in a patient with a bicuspid aortic valve: case report

Antonio Carlos Nicodemo et al. Braz J Infect Dis. 2014 Sep-Oct.

Abstract

Rothia aeria is an uncommon pathogen mainly associated with endocarditis in case reports. In previous reports, endocarditis by R. aeria was complicated by central nervous system embolization. In the case we report herein, endocarditis by R. aeria was diagnosed after acute self-limited diarrhea. In addition to the common translocation of R. aeria from the oral cavity, we hypothesize the possibility of intestinal translocation. Matrix-assisted laser desorption ionization-time of flight mass spectrometry and genetic sequencing are important tools that can contribute to early and more accurate etiologic diagnosis of severe infections caused by Gram-positive rods.

Keywords: Endocarditis; Intestinal translocation; Molecular diagnosis; Rothia aeria.

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References

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