Mar 5, 2021

Rothia dentocariosa causing intracranial mycotic aneurysm and ischaemic stroke

BMJ case reports
Eli Kisilevsky, Nataly Pesin, Daniel Mandell, Edward A Margolin
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...