Ann Clin Microbiol 2020;23:211-216. A Case of Prosthetic Valve Endocarditis with Cerebral Hemorrhage Caused by Rothia mucilaginosa

Table 2. Reported cases of infective endocarditis with intracranial complications
AuthorYearAge/SexRisk factorsPathogenAntibiotic therapyIntracranial complicationsOutcome
Issacson et al.
[Am J Med 1988; 84: 352-4]
198827/FBicuspid aortic valve
Periodontal abscess
R.dentocariosaPenicillin + GentamicinBrain abscessCure
(No sequelae)
Shands et al.
[Am J Med 1988; 85: 280-1]
198841/MMitral regurgitationR.dentocariosaVancomycin + Gentamicin,
then Penicilin + Gentamicin
Intracranial mycotic aneurysms with cerebral hemorrhageCure
(No sequelae)
Binder et al.
[Infection 1997; 25: 22-6]
199770/MAlcohol abuse
Carious teeth
Mitral regurgitation
Aortic insufficiency
R.dentocariosaPenicillin + Vancomycin + NetilmicinMultiple brain abscesses, mitral insufficiency requiring reconstruction and replacementCure
(No sequelae)
Binder et al.
[Infection 1997; 25: 22-6]
199750/MPeriodontiti s
Prosthetic aortic valve
R.dentocariosaRifampin + CeftriaxoneAortic root abscess, intracerebral hemorrhage attributed to intracranial mycotic aneurysmsUnknown
Ricaurte et al.
[South Med J 2001;9 4:438- 40]
200149/MUndefined heart murmur
Dental work (root canal)
R.dentocariosaCefotaxime,
then Vancomycin + Gentamicin
Right frontoparietal hematomaCure
(No sequelae)
Boudewijns et al. [7]200217/FCongenital bicuspid valveR.dentocariosaPenicillin + AmikacinIntracranial mycotic aneurysms with subarachnoid hemorrhages, aortic root abscess requiring replacementDeath
Sadhu et al.
[Diagn Microbiol Infect Dis 2005; 53: 239-40]
200555/MDiabetes mellitus
Liver cirrhosis
Dental abscess
R.dentocariosaPenicillin + GentamicinCerebellar hemorrhagesCure
(No sequelae)
Chowdhary et al.
[Am J Med Sci 2015; 350: 239-40]
201534/MIntravenous drug userR.dentocariosaVancomycin + Ceftriaxone + DoxycyclineSeptic emboli to right middle cerebral arteryCure
(No sequelae)
Fridman et al.
[Tex Heart Inst J 2016; 43: 255-7]
201658/MNoneR.dentocariosaPenicillin,
then Vancomycin + Ceftazidime
Cerebral mycotic aneurysm, endogenous endopthalmitisCure
(No sequelae)
Willner et al. [4]201862/FNoneR.dentocariosaVancomycin + Ceftriaxone,
then Penicillin
Acute or subacute infarctionsDeath
Tarumoto et al.
[Intern Med 2012; 51: 3295-9]
201240/MNoneR.aeriaCeftriaxone + Gentamicinhemorrhagic infarction with left posterior cerebral artery regionCure
(No sequelae)
Hiraiwa et al.
[Eur J Intern Med 2013; 24 Suppl 1: e204]
201363/MKidney transplantation
Dental caries
R.aeriaPenicillinBrain septic emboliCure
(No sequelae)
Thiyagarajan et al.
[BMJ Case Rep 2013. Doi: 10.113 6/bcr-2013-200534]
201361/MTooth extractionR.aeriaPenicillin + Rifampicin + GentamicinSeptic emboli in temporal arteryCure
(No sequelae)
Crowe et al.
[Infection 2014; 42: 419-23]
201348/MNoneR.aeriaPenicillin + Gentamicin,
then Rifampicin + Ciprofloxacin
Brain septic emboliCure
(No sequelae)
Collarino et al.
[New Microbes New Infect 2016; 13: 40-2]
201657/MSevere mitral insufficiencyR.aeriaAmoxicillin + GentamicinLeft frontal subarachnoid hemorrhageCure
(No sequelae)
Pinsky et al.
[J Clin Microbiol 1989; 27: 215-6]
198935/MIntravenous drug userR.mucilaginosaVancomycin + GentamicinLeft frontal lobe infarctionCure
(No sequelae)