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A Case of Prosthetic Valve Endocarditis with Cerebral Hemorrhage Caused by Rothia mucilaginosa

Annals of Clinical Microbiology 2020년 23권 4호 p.271 ~ 276
송여진, 김봉영, 김영은, 이양순, 배현주,
소속 상세정보
송여진 ( Song Yeo-Jin ) - Hanyang University College of Medicine Department of Internal Medicine
김봉영 ( Kim Bong-Young ) - Hanyang University College of Medicine Department of Internal Medicine
김영은 ( Kim Young-Eun ) - Hanyang University College of Medicine Department of Laboratory Medicine
이양순 ( Lee Yang-Soon ) - Hanyang University College of Medicine Department of Laboratory Medicine
배현주 ( Pai Hyun-Joo ) - Hanyang University College of Medicine Department of Internal Medicine

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.

키워드

Cerebral hemorrhage; Infective endocarditis; Prosthetic valve; Rothia mucilaginosa

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