Stomatococcus mucilaginosus pneumonia in a liver-transplant patient

Sánchez‐Carrillo, Carlos; Cercenado, Emilia; Cibrián, F.; Bouza, Emilio

doi:10.1016/0196-4399(95)80009-3

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…Risk factors for this infection include intravenous drug abuse, cardiac valve disease, and the presence of prosthetic devices, especially prosthetic heart valves. Infections caused by this organism have been described in various organ systems, including patients with bacteremia (6), endovascular infection, (5, 7-9), central nervous system infection (10), ocular infection (11), bone and joint infection (12, 13), pulmonary infection (14), biliary tract infection (15), and skin and soft tissue infections (16). Endocarditis is by far the most commonly reported clinical manifestation caused by this organism.…”

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confidence: 99%

Rothia mucilaginosa Prosthetic Device Infections: a Case of Prosthetic Valve Endocarditis

et al. 2013

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bRothia mucilaginosa is increasingly recognized as an emerging opportunistic pathogen associated with prosthetic device infections. Infective endocarditis is one of the most common clinical presentations. We report a case of R. mucilaginosa prosthetic valve endocarditis and review the literature of prosthetic device infections caused by this organism. CASE REPORTA 36-year-old man was admitted to the hospital in January 2012 with a chief complaint of left foot pain for 1 week. He described redness and swelling on the dorsum of his left foot. He denied trauma to the foot. He had been taking acetaminophen for pain intermittently without relief. He denied fever or chills, visual changes, back pain, muscle weakness, or numbness. He had a history of Streptococcus mitis mitral valve endocarditis and required mechanical mitral valve replacement in 2009. He had no history of peripheral vascular disease or claudication. He had no known drug allergies. His home medications included warfarin, methadone, and acetaminophen. He was an active intravenous heroin user. He was a former tobacco user with a 5-pack-year history who had quit 7 years before.On examination, the patient appeared well. His temperature was 100.9°F (38.3°C), pulse 108 beats per minute, blood pressure 133/64 mm Hg, and respirations 20 per minute. Cardiovascular examination revealed normal S1 and S2 and no murmurs, rubs, or gallops. The dorsum of the left foot had mild erythema, slight edema, and point tenderness of the mid-dorsal region. The left dorsalis pedis pulse was easily palpable. Skin examination revealed track marks at the right antecubital fossa. The remainder of the examination was normal. Laboratory studies revealed a white blood cell count of 20 ϫ 10 3 cells/mm 3 (reference range, 4 ϫ 10 3 to 11 ϫ 10 3 /mm 3 ), neutrophils at 88%, creatinine at 0.8 mg/dl, and an erythrocyte sedimentation rate of 35 mm/h (reference range, 0 to 10 mm/h). Other routine laboratory tests were normal. A leftfoot radiograph revealed no fracture, and an ultrasound of the left lower extremity revealed no deep vein thrombosis. Intravenous vancomycin and piperacillin-tazobactam were administered empirically for a presumptive diagnosis of left-foot cellulitis. The fever resolved, but the patient had persistent pain in the left foot, which subsequently turned blue and felt cold. Computed tomographic angiography revealed left popliteal artery thrombosis. A left popliteal thromboembolectomy was performed on day 4 of hospitalization. The pathology of the left popliteal thrombus revealed an organized thrombus with clusters of Gram-positive cocci. On day 4 of hospitalization, two sets of blood cultures obtained on the day of admission grew Rothia mucilaginosa from the aerobic bottles only.The organism was identified based upon biochemical tests, automated identification platforms (Phoenix system), and phenotypic characteristics. Gram stain revealed Gram-positive cocci that were catalase negative and grew sticky "staph-like" colonies which were whitish to gray in color, nonhemolyt...

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confidence: 99%

Rothia mucilaginosa Prosthetic Device Infections: a Case of Prosthetic Valve Endocarditis

et al. 2013

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“…Yapılan çalışmalarda R. mucilaginosa'nın sıklıkla aminoglikozidlere, kotrimaksozole ve kinolonlara dirençli olduğu bildirilmiştir (1,(14)(15)(16)(17) . Kinolonlara sıklıkla bildirilen dirence rağmen, bizim hastamızda moksifloksasin ile klinik, radyolojik ve laboratuvar olarak düzelme sağlanması nedeniyle antimikrobiyal ajanda değişiklik yapılmadan tedaviye devam edilmiş ve hasta taburcu edilmiştir.…”

Section: Discussionunclassified

Rothia mucilaginosa Pneumonia: Case report

Erdin¹,

Karabiber²,

Kadi³

2020

TMCD

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“…A broad spectrum of infections has been documented in the literature, including cases of bacteraemia without a clear source (7, 9, 10, 12 -15, 21), central nervous system infections (8,13,15,18), endocarditis (3 -6, 19, 20), catheter-related sepsis (7,9,10,12,15,21), peritonitis complicating chronic ambulatory peritoneal dialysis (22,23), cellulitis (8), vertebral osteomyelitis (24), pneumonia (13,16,17), urinary tract infections (25), cholangitis (26) and endophthalmitis (27).…”

Section: Discussionmentioning

confidence: 99%

Cerebral Mycotic Aneurysm Complicating Stomatococcus mucilaginosus Infective Endocarditis

Pérez-Vega¹,

Narváez²,

Calvo³

et al. 2002

Scandinavian Journal of Infectious Diseases

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Stomatococcus mucilaginosus is a gram-positive coccus present in the normal flora of the mouth and upper respiratory tract of humans. Although traditionally believed to be an organism of low virulence, S. mucilaginosus has recently been recognized as an emerging opportunistic pathogen, especially in patients with chronic immunosuppressive diseases. This report describes the case of a patient with known mitral valve prolapse, who presented with a mycotic cerebral aneurysm revealing a non-nosocomial spontaneous S. mucilaginosus endocarditis. The spectrum of infections due to this opportunistic pathogen is reviewed, with particular focus on assessing the clinical characteristics and prognosis of S. mucilaginosus infective endocarditis.

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Stomatococcus mucilaginosus pneumonia in a liver-transplant patient

Cited by 6 publications

References 7 publications

Rothia mucilaginosa Prosthetic Device Infections: a Case of Prosthetic Valve Endocarditis

Rothia mucilaginosa Prosthetic Device Infections: a Case of Prosthetic Valve Endocarditis

Rothia mucilaginosa Pneumonia: Case report

Cerebral Mycotic Aneurysm Complicating Stomatococcus mucilaginosus Infective Endocarditis

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