Int J Cardiol. 2009 Sep 11;137(1):e13-4. doi: 10.1016/j.ijcard.2008.05.040. Epub 2008 Aug 5.
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.
我们报告了一例有趣的口腔链球菌心内膜炎病例，该病例表现为感染性椎间盘炎，发生于无潜在结构性瓣膜心脏病且无感染性心内膜炎临床特征的无牙患者。这表明口腔链球菌心内膜炎可发生于无牙患者（无口腔感染迹象），且无任何系统性心内膜炎的迹象，并以远处部位感染为表现，在本例中为感染性椎间盘炎。如果给予预防性抗生素治疗，该诊断无疑也会被遗漏。
