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KMID : 1142720200230040271
Annals of Clinical Microbiology
2020 Volume.23 No. 4 p.271 ~ p.276
A Case of Prosthetic Valve Endocarditis with Cerebral Hemorrhage Caused by Rothia mucilaginosa
Song Yeo-Jin

Kim Bong-Young
Kim Young-Eun
Lee Yang-Soon
Pai Hyun-Joo
Abstract
Rothia spp. are aerobic, gram-positive cocci belonging to the family Micrococcaceae, and are a part of the normal microbial flora of the human oropharynx and upper respiratory tract. We present the first case of the prosthetic valve endocarditis with cerebral hemorrhage caused by Rothia mucilaginosa in South Korea. A 65-year-old man with a prosthetic aortic valve visited the outpatient clinic with a complaint of fever. R. mucilaginosa was identified in one among four sets of blood culture bottles obtained on the on day 30 of fever onset. Brain magnetic resonance imaging (MRI) showed multiple micro-hemorrhages suggesting septic emboli in both the hemispheres, corticomedullary junctions, and cerebellum. Rothia spp. should be considered as a possible pathogen in the cases of infective endocarditis with intracranial hemorrhage.
KEYWORD
Cerebral hemorrhage, Infective endocarditis, Prosthetic valve, Rothia mucilaginosa
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