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Rothia aeria Infective Endocarditis: a First Case in Korea and Literature Review

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초록

Rothia species are pleomorphic gram-positive bacteria that belong to the Micrococcaceae family [1]. The Rothia genus presently comprises 6 named species, 2 of which are deemed clinically relevant: Rothia dentocariosa and Rothia mucilaginosa [2-6]. Another member of the genus, Rothia aeria, a taxon group provisionally named R. dentocariosa genomovar II, is a rare cause of human infections [2, 7] To date, only 6 cases of human infection caused by R. aeria have been reported, including bacteremia [8], neck abscesses [9], respiratory tract infection [10, 11], septic arthritis [12], and infective endocarditis [13]. Although Rothia species have rarely been reported as a causative pathogen of infective endocarditis, no case has been reported in Korea. Moreover, the risk factors for invasive infection by R. aeria are not well defined because of its rarity and the difficulty of correct species identification. Here, we report a case of infective endocarditis caused by R. aeria in a patient taking tumor necrosis factor (TNF)-α blocker.

Abstract

Rothia species are pleomorphic gram-positive bacteria that belong to the Micrococcaceae family [1]. The Rothia genus presently comprises 6 named species, 2 of which are deemed clinically relevant: Rothia dentocariosa and Rothia mucilaginosa [2-6]. Another member of the genus, Rothia aeria, a taxon group provisionally named R. dentocariosa genomovar II, is a rare cause of human infections [2, 7] To date, only 6 cases of human infection caused by R. aeria have been reported, including bacteremia [8], neck abscesses [9], respiratory tract infection [10, 11], septic arthritis [12], and infective endocarditis [13]. Although Rothia species have rarely been reported as a causative pathogen of infective endocarditis, no case has been reported in Korea. Moreover, the risk factors for invasive infection by R. aeria are not well defined because of its rarity and the difficulty of correct species identification. Here, we report a case of infective endocarditis caused by R. aeria in a patient taking tumor necrosis factor (TNF)-α blocker.

참고문헌 (19)

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  14. National Committee for Clinical Laboratory Standards, "Perfomance standards for antimicrobial susceptibility testing. Twenty-first Informational supplement, M100-S21", National Committee for Clinical Laboratory Standards, ~ (2011)
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  16. 임민희, "First Case of Bartonella quintana Endocarditis in Korea", Journal of Korean Medical Science, 27(11), pp.1433~1435 (2012), 대한의학회
  17. Hee-Chang Jang, "Clinical Features and Rate of Infective Endocarditis in Non-Faecalis and Non-faecium Enterococcal Bacteremia", 전남의대학술지, 47(2), pp.111~115 (2011), 의과학연구소
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  19. 고관수, "Molecular Identification of Clinical Rothia Isolates from Human Patients: Proposal of a Novel Rothia Species, Rothia arfidiae sp. nov.", Journal of Bacteriology and Virology, 39(3), pp.159~164 (2009), 대한미생물학회

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