Journal of Advances in Medicine and Medical Research, Journal Year: 2023, Volume and Issue: 35(24), P. 100 - 127
Published: Dec. 20, 2023
Background and Aim: Rothia, a genus comprising pleomorphic Gram-positive bacteria found in the human oral, intestinal, skin microbiota, is recognized as an opportunistic pathogen. Case reports of Rothia spp. endocarditis scientific literature are scarce, with limited knowledge relevant data on clinical aspects its treatment. The objective this review to compile caused by species, analyzing results practices elucidate most important risk factors, comorbidities, prognostic appropriate antibiotic treatment options. Methods: Employing PRISMA model, systematic was conducted utilizing PubMed, SciELO, Google Scholar databases, encompassing articles published from 1978 November 2023. Pertinent were systematically recorded summarized for subsequent analysis. Results: dentocariosa (48.69%), mucilaginosa (22.37%), aeria (14.47%), kristinae (14.47%) agents cases. Patients exhibited average age 48.5 years, notable male preponderance (71.6%). Clinical manifestations presented similar features compared other bacterial mortality rate notably lower than observed infectious instances (11.84%). Predominant factors included preexisting cardiovascular diseases (50%), followed odontological procedures, caries, precarious oral hygiene (17.1%), immunocompromised status injectable illicit drug use (11.84%), diabetes (9.21%). Embolic events documented 35.53% patients, predominantly Central Nervous System (28.95%). Mycotic aneurysms identified 6.58% Resistance antibiotics only 13.16% strains causing endocarditis, although certain displayed characteristics indicative multidrug resistance. Conclusion: Despite rarity, exhibits parallels bacteria, but comparatively rate. Challenges identifying species based cultural microscopic characteristics, associated early resolution therapy, seems contribute underreporting these bacteria.
Language: Английский