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

• Published in: The Brazilian journal of infectious diseases Vol. 18; no. 5; pp. 561 - 564
• Main Authors: Nicodemo, Antonio Carlos, Gonçalves, Luiz Guilherme, Odongo, Fatuma Catherine Atieno, Martino, Marines Dalla Valle, Sampaio, Jorge Luiz Mello
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Elsevier Editora Ltda 01.09.2014; Contexto; Elsevier; Brazilian Society of Infectious Diseases
• Subjects: Actinomycetales infections; Adult; Aortic Valve - abnormalities; Aortic Valve - microbiology; Bacterial Translocation; Bicuspid Aortic Valve Disease; Care and treatment; Case Report; Case studies; Diagnosis; Endocarditis; Endocarditis, Bacterial - diagnosis; Endocarditis, Bacterial - microbiology; Gram-Positive Bacterial Infections - diagnosis; Gram-Positive Bacterial Infections - microbiology; Heart valve diseases; Heart Valve Diseases - diagnosis; Heart Valve Diseases - microbiology; Humans; INFECTIOUS DISEASES; Intestinal translocation; Male; Molecular diagnosis; Physiological aspects; Rothia aeria; Rothia aeria; Molecular diagnosis; Endocarditis; Intestinal translocation
• ISSN: 1413-8670; 1678-4391; 1678-4391
• DOI: 10.1016/j.bjid.2014.05.001

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.