Abstract

EDIAP, Luis; USEDO, Pedro; EDIAP, Farah  and  FERNANDEZ, Gabriela. Rothia aeria Endocarditis. Case Report. Rev Chil Cardiol [online]. 2018, vol.37, n.2, pp.104-109. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602018000200104.

A 65-year-old female patient, with a history of chronic hypertension, insulin resistance, total histerectomy, and tibioperoneal fracture, is hospitalized for fever of unknown etiology. Basterial endocarditis was suspected due to elevated inflammatory parameters and a 2/6 diastolic murmur present in the aortic focus. Transthoracic and transesophageal echocardiography, showed a 9 mm by 7 mm vegetation in the left coronary aortic leaflet of and mild aortic insufficiency, Blood cultures were positive for Rothia aeria. She developed embolism of the right kidney and spleen, and subsequently, a subarachnoid hemorrhage. Antibiotic therapy was initiated with ampicillin, vancomycin and gentamicin, with a satisfactory evolution being discharged after 28 days of hospitalization.

When reviewing the literature, it can be concluded that Rothia endocarditis is extremely rare and that, tends to have a subacute presentation with large vegetations, larger than 10 mm, and a high incidence of neurological complications.

Keywords : Rothia aeria; endocarditis; subarachnoid hemhorrage.

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