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Case report
Rothia dentocariosa causing intracranial mycotic aneurysm and ischaemic stroke
  1. Eli Kisilevsky1,
  2. Nataly Pesin1,
  3. Daniel Mandell2 and
  4. Edward A Margolin3
  1. 1Ophthalmology and Vision Sciences, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
  2. 2Medical Imaging, University of Toronto, Toronto, Ontario, Canada
  3. 3Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada
  1. Correspondence to Dr Edward A Margolin; edmargolin{at}gmail.com

Abstract

We describe a case of subacute bacterial endocarditis and mycotic brain aneurysm caused by Rothia dentocariosa due to untreated dental caries. R. dentocariosa is a rare cause of endocarditis that has a high incidence of aneurysmal and haemorrhagic complications. All patients with intracranial aneurysms who have signs of systemic infection should be considered to have mycotic aneurysms until proven otherwise. Dental habits should be included in regular medical assessment and dental care should be considered for patients presenting with infectious symptoms.

  • dentistry and oral medicine
  • infectious diseases
  • infection (neurology)
  • interventional radiology

https://doi.org/10.1136/bcr-2020-240349

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    Footnotes

    • Contributors All authors contributed equally to the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.