Rothia spp. infective endocarditis: A systematic literature review - 28/04/21
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| pages | 8 |
| Iconographies | 5 |
| Vidéos | 0 |
| Autres | 0 |
Highlights |
• | Rothia spp. endocarditis are rare (51 cases). |
• | Patients often have orodental abnormalities (33%), and/or intravenous drug use (20%). |
• | The mortality rate is low (14%) but surgery is sometimes necessary (39%). |
Abstract |
Objective |
To describe the epidemiological, clinical, microbiological, and therapeutic features and outcomes of Rothia infective endocarditis (RIE) and extracardiac infections (ECRI).
Methods |
We performed a systematic literature review of published cases of RIE and ECRI.
Results |
After inclusion of a personal case report, 51 cases of RIE and 215 cases of ECRI were reported. Compared with ECRI patients, RIE patients were significantly more often males (80% versus 59%), intravenous drug users (IVDU) (20% versus 3%), immunocompetent (76% versus 31%), and infected with R. dentocariosa (55% versus 13%) but lacked significant differences with regard to median age (45 years [6–79]), rate of orodental abnormalities (33%), and six-month mortality (14%). Following microbiological documentation, RIE was most often treated with a beta-lactam antibiotic alone (39%) for a median duration of six weeks and required surgery in 39% of cases.
Conclusion |
RIE is rare and likely secondary to a dental portal of entry or cutaneous inoculation in IVDU. Its prognosis seems to be favorable.
Le texte complet de cet article est disponible en PDF.Keywords : Infective endocarditis, Rothia, Rothia dentocariosa
Plan
Vol 51 - N° 3
P. 228-235 - mai 2021 Retour au numéro
Article précédent
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- Members of the Sous les Verrous Study Group, Odile Albert, Eric Bonnet, Bruno Cassard, Cécile Chambrier, Alexandre Charmillon, Sylvain Diamantis, Bertrand Gachot, Mathieu Lafaurie, David Lebeaux, Nolwenn Lucas, Christophe Strady, Julie Toubiana, Christophe Strady
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