{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:42:08Z","timestamp":1762004528379,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 61-year-old patient presented with drowsiness, decreased appetite and weight loss. On examination he had several splinter haemorrhages and a tender mass over the right temporal region. Respiratory and abdominal examinations were unremarkable and heart sounds were normal with no clinically audible murmurs. He spiked regular temperatures and consequently had several blood cultures taken. Transthoracic and transoeseophageal echocardiogram showed a 3\u2005cm mitral valve vegetation. MRI confirmed suspicions of septic emboli in the brain. Blood cultures grew <jats:italic>Rothia aeria<\/jats:italic> and he was started on benzylpenicillin, rifampicin and gentamicin. After a period of observation he deteriorated clinically and biochemically, surgical intervention therefore ensued with an urgent metallic mitral valve replacement. Nineteen days postsurgery the patient was successfully discharged on outpatient antibiotic therapy and warfarin. In view of complications such as embolisation and cerebral infarction, <jats:italic>R aeria<\/jats:italic> endocarditis should be managed aggressively and with a high index of clinical suspicion.<\/jats:p>","DOI":"10.1136\/bcr-2013-200534","type":"journal-article","created":{"date-parts":[[2013,10,9]],"date-time":"2013-10-09T11:40:31Z","timestamp":1381318831000},"page":"bcr2013200534","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["The first report of survival post <i>Rothia aeria<\/i> endocarditis"],"prefix":"10.1136","volume":"2013","author":[{"given":"Arun","family":"Thiyagarajan","sequence":"first","affiliation":[{"name":"Department of Primary Care, Imperial College Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjella","family":"Balendra","sequence":"additional","affiliation":[{"name":"Barnet and Chase Farm Hospitals NHS Trust, London, Hertfordshire, 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