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Fatahi-Bafghi M. Characterization of the Rothia spp. and their role in human clinical infections. INFECTION GENETICS AND EVOLUTION 2021; 93:104877. [PMID: 33905886 DOI: 10.1016/j.meegid.2021.104877] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 01/01/2021] [Accepted: 04/19/2021] [Indexed: 11/25/2022]
Abstract
The genus Rothia are emerging as opportunistic pathogens associated with various infections in immunocompromised and immunocompetent individuals. This review describes the taxonomy, cell wall structure, pathogenesis, phenotypic and molecular characteristics, clinical diseases, treatment and, as well as, the related genera that may be misidentified by Rothia species.
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Affiliation(s)
- Mehdi Fatahi-Bafghi
- Department of Microbiology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
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Franconieri F, Join-Lambert O, Creveuil C, Auzou M, Labombarda F, Aouba A, Verdon R, de La Blanchardière A. Rothia spp. infective endocarditis: A systematic literature review. Infect Dis Now 2020; 51:228-235. [PMID: 33164836 DOI: 10.1016/j.medmal.2020.10.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 10/16/2020] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To describe the epidemiological, clinical, microbiological, and therapeutic features and outcomes of Rothia infective endocarditis (RIE) and extracardiac infections (ECRI). METHODS We performed a systematic literature review of published cases of RIE and ECRI. RESULTS After inclusion of a personal case report, 51 cases of RIE and 215 cases of ECRI were reported. Compared with ECRI patients, RIE patients were significantly more often males (80% versus 59%), intravenous drug users (IVDU) (20% versus 3%), immunocompetent (76% versus 31%), and infected with R. dentocariosa (55% versus 13%) but lacked significant differences with regard to median age (45 years [6-79]), rate of orodental abnormalities (33%), and six-month mortality (14%). Following microbiological documentation, RIE was most often treated with a beta-lactam antibiotic alone (39%) for a median duration of six weeks and required surgery in 39% of cases. CONCLUSION RIE is rare and likely secondary to a dental portal of entry or cutaneous inoculation in IVDU. Its prognosis seems to be favorable.
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Affiliation(s)
- F Franconieri
- Department of Infectious and Tropical Diseases, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
| | - O Join-Lambert
- Laboratory of Microbiology, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France; Research Group on Microbial Adaptation, Normandie Univ, UNICAEN, EA2656, GRAM 2.0, 14000 Caen, France
| | - C Creveuil
- Biostatistics and Clinical Research Unit, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
| | - M Auzou
- Laboratory of Microbiology, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
| | - F Labombarda
- Department of Cardiology, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
| | - A Aouba
- Department of Internal Medicine, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
| | - R Verdon
- Department of Infectious and Tropical Diseases, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France; Research Group on Microbial Adaptation, Normandie Univ, UNICAEN, EA2656, GRAM 2.0, 14000 Caen, France
| | - A de La Blanchardière
- Department of Infectious and Tropical Diseases, Normandie Univ, UNICAEN, CHU de Caen Normandie, 14000 Caen, France.
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