Abstract
We herein report a case of infective endocarditis (IE) resulting from multiple and recurrent dental infections leading to mitral regurgitation (MR) requiring mitral valve replacement (MVR) surgery. A 32-year-old female patient was admitted to the Infectious Disease Department of our hospital diagnosed as IE. During the course of hospitalization, she was referred to our department for investigation and identification of a possible oral route (source) for her IE. Oral examination revealed that connected temporary crowns were place over her dentitions and upon removal, there were no teeth (crown) remaining, only the alveolar roots remained. We speculated that the source of her IE was due to oral bacteria and recommended teeth extraction but the patient denied further oral (dental) treatment. Her heart condition improved without oro-dental treatment and was discharged from the hospital 43 days after admission. Four months after discharge, she was readmitted for MR resulting from IE. As a preoperative oro-dental treatment, she underwent complete teeth extraction. After completion of dental treatment, MVR surgery was performed. Postoperatively, she made considerable progress and was discharged from the hospital 58 days after admission.
