Rothia dentocariosa pneumonia in an immunocompromised patient

Abstract

An 84-year-old woman with acute myelocytic leukemia presented with fever and a left upper lobe infiltrate on chest x-ray. She failed to respond to initial broad spectrum antibiotic therapy. Bronchoalveolar lavage fluid and a transthoracic needle aspirate subsequently both grewRothia dentocariosa, a gram-positive branching rod. The pneumonia resolved after prolonged treatment with Clindamycin.Rothia dentocariosa must be considered a cause of opportunistic pulmonary infection.

This is a preview of subscription content, access via your institution.

We’re sorry, something doesn't seem to be working properly.

Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

References

  1. 1.

    Brown JM, Georg LK, Waters LC (1969) Laboratory identification ofRothia dentocariosa and its occurrence in human clinical materials. Appl Microbiol 17:150–156

    PubMed  CAS  Google Scholar 

  2. 2.

    Castellino RA, Bank N (1979) Etiologic diagnosis of focal pulmonary infection in immunocompromised patients by fluoroscopically guided percutaneous needle aspiration. Radiology 132:563–567

    PubMed  CAS  Google Scholar 

  3. 3.

    Lesher RJ, Gerencser VF, Morrison DJ (1977) Presence ofRothia dentocariosa strain 477 serotype 2 in gingiva of patients with inflammatory periodontal disease. J Den Res 56:189

    CAS  Google Scholar 

  4. 4.

    Lutwick LI, Rockhill RC (1978) Abscess associated withRothia dentocariosa. J Clin Microbiol 8:612–613

    PubMed  CAS  Google Scholar 

  5. 5.

    Pape J, Singer C, Kiehn T, Lee BJ, Armstrong D (1979) Infective endocarditis caused byRothia dentocariosa. Ann Intern Med 91:746–747

    PubMed  CAS  Google Scholar 

  6. 6.

    Roth GD (1957) Proteolytic organisms of the carious lesion. Oral Surg 10:1105–1107

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Schafer FJ, Wing EJ, Norden CW (1979) Infective endocarditis caused byRothia dentocariosa. Ann Intern Med 91:747–748

    PubMed  CAS  Google Scholar 

  8. 8.

    Scharfen J (1975) Untraditional glucose fermenting actinomycetes as human pathogens: IIRothia dentocariosa as a cause of abdominal actinomycosis and a pathogen for mice. Zentralb Bakterial (Orig A) 233:80–92

    CAS  Google Scholar 

  9. 9.

    Stover DE, Zaman MB, Hajdu SI, Lange M, Gold J, Armstrong D (1984) Bronchoalveolar lavage in the diagnosis of diffuse pulmonary infiltrates in the immunocompromised host. Ann Intern Med 101:1–7

    PubMed  CAS  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Mark J. Schiff.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Schiff, M.J., Kaplan, M.H. Rothia dentocariosa pneumonia in an immunocompromised patient. Lung 165, 279–282 (1987). https://doi.org/10.1007/BF02714444

Download citation

Key words

  • Rothia dentocariosa
  • Opportunistic infection
  • Pneumonia