Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health
Infective endocarditis caused by anaerobes may be underrecognized. Here, we report a case of polymicrobial anaerobic infective endocarditis secondary to poor oral health. A 79-year-old man presented with fever, trismus, and a painful swollen jaw. Evaluation revealed pulmonary septic embolism, osteom...
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| Language: | English |
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American College of Physicians
2025-05-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0933 |
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| author | Taro Sawabe Shunsuke Kosugi Takashi Matono |
| author_facet | Taro Sawabe Shunsuke Kosugi Takashi Matono |
| author_sort | Taro Sawabe |
| collection | DOAJ |
| description | Infective endocarditis caused by anaerobes may be underrecognized. Here, we report a case of polymicrobial anaerobic infective endocarditis secondary to poor oral health. A 79-year-old man presented with fever, trismus, and a painful swollen jaw. Evaluation revealed pulmonary septic embolism, osteomyelitis, and vegetation on the mitral valve. Fusobacterium nucleatum and Slackia exigua were identified in blood cultures. He was diagnosed with infective endocarditis and was successfully treated with antimicrobials. This highlights the importance of promptly identifying systemic infections even in apparent odontogenic infections. Clinicians should be aware of severe infections caused by oral anaerobes and the importance of maintaining oral health. |
| format | Article |
| id | doaj-art-e6bb0377eb924b62bcee36e26fcfdac6 |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-e6bb0377eb924b62bcee36e26fcfdac62025-08-20T03:08:17ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-05-014510.7326/aimcc.2024.0933Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral HealthTaro Sawabe0Shunsuke Kosugi1Takashi Matono21Department of General Internal Medicine, Aso Iizuka Hospital, Iizuka, Japan1Department of General Internal Medicine, Aso Iizuka Hospital, Iizuka, Japan2Department of Infectious Diseases, Aso Iizuka Hospital, Iizuka, JapanInfective endocarditis caused by anaerobes may be underrecognized. Here, we report a case of polymicrobial anaerobic infective endocarditis secondary to poor oral health. A 79-year-old man presented with fever, trismus, and a painful swollen jaw. Evaluation revealed pulmonary septic embolism, osteomyelitis, and vegetation on the mitral valve. Fusobacterium nucleatum and Slackia exigua were identified in blood cultures. He was diagnosed with infective endocarditis and was successfully treated with antimicrobials. This highlights the importance of promptly identifying systemic infections even in apparent odontogenic infections. Clinicians should be aware of severe infections caused by oral anaerobes and the importance of maintaining oral health.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0933 |
| spellingShingle | Taro Sawabe Shunsuke Kosugi Takashi Matono Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health Annals of Internal Medicine: Clinical Cases |
| title | Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health |
| title_full | Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health |
| title_fullStr | Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health |
| title_full_unstemmed | Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health |
| title_short | Infective Endocarditis Caused by Fusobacterium nucleatum and Slackia exigua Secondary to Poor Oral Health |
| title_sort | infective endocarditis caused by fusobacterium nucleatum and slackia exigua secondary to poor oral health |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0933 |
| work_keys_str_mv | AT tarosawabe infectiveendocarditiscausedbyfusobacteriumnucleatumandslackiaexiguasecondarytopoororalhealth AT shunsukekosugi infectiveendocarditiscausedbyfusobacteriumnucleatumandslackiaexiguasecondarytopoororalhealth AT takashimatono infectiveendocarditiscausedbyfusobacteriumnucleatumandslackiaexiguasecondarytopoororalhealth |