Abstract
A 35-year-old man with a history of intravenous drug use developed endocarditis due to Rothia dentocariosa that was complicated by a perivalvular abscess. Despite combined medical and surgical treatment, abscess formation progressed following aortic valve replacement, and the patient died during a second operative procedure. This is the sixth case of Rothia dentocariosa endocarditis reported in the English-language literature, and to our knowledge, the only case in which a perivalvular abscess has been documented.
MeSH terms
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Abscess / complications*
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Abscess / diagnostic imaging
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Abscess / drug therapy
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Abscess / surgery
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Actinomycetaceae / isolation & purification*
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Actinomycetales Infections* / diagnostic imaging
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Actinomycetales Infections* / drug therapy
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Actinomycetales Infections* / surgery
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Adult
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Aortic Valve* / surgery
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Bioprosthesis
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Echocardiography
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Endocarditis, Bacterial / complications*
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Endocarditis, Bacterial / diagnostic imaging
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / surgery
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Gentamicins / therapeutic use
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Heart Valve Diseases / complications
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Heart Valve Diseases / diagnostic imaging
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Heart Valve Diseases / drug therapy
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Heart Valve Diseases / surgery
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Heart Valve Prosthesis
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Humans
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Male
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Postoperative Complications
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Staphylococcus epidermidis / isolation & purification
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Substance Abuse, Intravenous / complications
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Vancomycin / therapeutic use