Streptococcus oralis endocarditis presenting as infective discitis in an edentulous patient


We present an interesting case of Streptococcus oralis endocarditis, presenting with infective discitis, in an edentulous patient with no underlying structural valvular heart disease and no clinical features to suggest infective endocarditis. It illustrates that S. oralis endocarditis can occur in edentulous patients (with no signs of oral sepsis), without any systemic stigmata of endocarditis and manifest with infection at remote sites, in this case, infective discitis. The diagnosis would also undoubtedly have been missed if preemptive antibiotic therapy had been given.


Keywords: Edentulous, Streptococcus oralis, Endocarditis


B.J. RentonCorresponding Author Informationemail address, J.E. Clague, R.P.D. Cooke


Corresponding author. Department of Medicine, University Hospital Aintree Lower Lane, Liverpool L9 7AL, United Kingdom.


Volume 137, Issue 1, Pages e13-e14 (September 2009)


Received 5 March 2008; received in revised form 14 March 2008; accepted 10 May 2008. published online 06 August 2008. Abstract


PII: S0167-5273(08)00753-5 doi:10.1016/j.ijcard.2008.05.040