, Volume 165, Issue 1, pp 279–282 | Cite as

Rothia dentocariosa pneumonia in an immunocompromised patient

  • Mark J. Schiff
  • Mark H. Kaplan


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.

Key words

Rothia dentocariosa Opportunistic infection Pneumonia 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Brown JM, Georg LK, Waters LC (1969) Laboratory identification ofRothia dentocariosa and its occurrence in human clinical materials. Appl Microbiol 17:150–156PubMedGoogle Scholar
  2. 2.
    Castellino RA, Bank N (1979) Etiologic diagnosis of focal pulmonary infection in immunocompromised patients by fluoroscopically guided percutaneous needle aspiration. Radiology 132:563–567PubMedGoogle 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 56:189Google Scholar
  4. 4.
    Lutwick LI, Rockhill RC (1978) Abscess associated withRothia dentocariosa. J Clin Microbiol 8:612–613PubMedGoogle Scholar
  5. 5.
    Pape J, Singer C, Kiehn T, Lee BJ, Armstrong D (1979) Infective endocarditis caused byRothia dentocariosa. Ann Intern Med 91:746–747PubMedGoogle Scholar
  6. 6.
    Roth GD (1957) Proteolytic organisms of the carious lesion. Oral Surg 10:1105–1107PubMedCrossRefGoogle Scholar
  7. 7.
    Schafer FJ, Wing EJ, Norden CW (1979) Infective endocarditis caused byRothia dentocariosa. Ann Intern Med 91:747–748PubMedGoogle 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) 233:80–92Google 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 101:1–7PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • Mark J. Schiff
    • 1
    • 2
  • Mark H. Kaplan
    • 1
    • 2
  1. 1.Department of MedicineNorth Shore University HospitalManhassetUSA
  2. 2.Department of MedicineCornell University Medical CollegeNew York

Personalised recommendations