First reported case of Rothia dentocariosa spondylodiscitis in an immunocompetent patient

Jean-Marc Schwob; Violène Porto; Sigiriya Aebischer Perone; Christian Van Delden; Gilles Eperon; Alexandra Calmy

doi:10.1016/j.idcr.2019.e00689

First reported case of Rothia dentocariosa spondylodiscitis in an immunocompetent patient

IDCases. 2019 Dec 20:19:e00689. doi: 10.1016/j.idcr.2019.e00689. eCollection 2020.

Authors

Jean-Marc Schwob¹, Violène Porto², Sigiriya Aebischer Perone¹, Christian Van Delden³, Gilles Eperon¹, Alexandra Calmy⁴

Affiliations

¹ Division of Tropical and Humanitarian Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
² Department of Internal Medicine, Rehabilitation and Geriatrics, Internal Medicine Unit, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
³ Division of Infectious Diseases, Transplant Infectious Diseases Unit, University Hospitals and University of Geneva, Geneva, Switzerland.
⁴ Division of Infectious Diseases, HIV Unit, University Hospitals and University of Geneva, Geneva, Switzerland.

Abstract

Rothia dentocariosa is part of the normal human oropharyngeal microflora and is frequently associated with dental caries and periodontal disease. Invasive disease has been described essentially in immunocompromised hosts and/or patients with underlying conditions as predisposing factors. We present a case of an otherwise healthy 46-years old male with spondylodiscitis caused by this pathogen. Treatment with ceftriaxone and rifampin was successful. To our knowledge, this is the first R. dentocariosa spondylodiscitis reported in an immunocompetent patient, and the second one in the literature overall.

Keywords: Bacteremia; Osteomyelitis; Rothia dentocariosa; Spondylodiscitis.

Publication types

Case Reports