Endocarditis due to Neisseria mucosa after tongue piercing

Tronel, H.; Chaudemanche, H.; Pechier, N.; Doutrelant, L.; Hoën, Bruno

doi:10.1046/j.1469-0691.2001.00241.x

Cited by 62 publications

(32 citation statements)

References 13 publications

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“…17 Late and chronic complications refer to traumatic injury to the teeth such as chipping, fracturing of teeth and restorations and pulpal damage; 6,11,13 trauma to the gingiva; 13,18,19 localised tissue overgrowth; 20,21 bifid tongue; 22 persistent difficulties in oral functions; 10,11 and swallowing of the device or device parts. 13,23 Other findings that have been presented in case reports included the transmission of systemic infections such as hepatitis B, tetanus and HIV; 2,7,9 the development of a cerebellar brain abscess as a result of an infection after the piercing procedure; 24 endocarditis due to Neisseria mucosa 25 and Heamophilus aphrophilus 26 after tongue piercing; haemorrhage with great concern in medically compromised patients; 27 and ornaments becoming embedded. 28,29 As far as lip piercings are concerned, it appears that there are fewer problems.…”

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Dental and oral complications of lip and tongue piercings

et al. 2005

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Piercing of the tongue and perioral regions is an increasingly popular expression of body art, with more patients coming in for a routine check-up with tongue and/or lip piercings. Several complications of oral piercing have been reported, some of which are life-threatening. In the present clinical survey the prevalence of both tongue and lip piercing complications in oral health was assessed in a group of 50 patients. The most common dental problem registered was chipping of the teeth, especially in association with tongue piercing. Gingival recession was seen as a result of lip piercing with studs. Postprocedural complications included oedema, haemorrhage and infection. Therefore, dentists and oral and maxillofacial surgeons should be given more authority to advise patients with oral and facial piercings or those who plan to acquire this type of body art

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confidence: 99%

Dental and oral complications of lip and tongue piercings

et al. 2005

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“…Only one piercer was aware that some individuals are at risk of bacterial endocarditis following piercing. This is despite there being at least four case reports in the medical literature documenting episodes of infective endocarditis following tongue piercing [9][10][11][12] and one reported death in the UK following a lip piercing. 23 A recent survey of US cardiologists 26 revealed that most recommend that patients with congenital heart disease avoid body piercings and that antibiotic cover should be provided prior to such a procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Since then there have been numerous case reports documenting a variety of complications associated with the procedure. The complications reported are diverse and range from potentially life-threatening conditions, for example, airway obstruction, [3][4][5] prolonged bleeding [6][7][8] and infective endocarditis, [9][10][11][12] to traumatic injury to the teeth and periodontal tissues from the intra-oral jewellery. [13][14][15][16][17][18][19][20][21] Since the literature is mainly confined to individual cases or small series of patients, it is difficult to accurately assess the magnitude of the risks facing individuals undergoing tongue piercing.…”

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confidence: 99%

An investigation into the practice of tongue piercing in the South West of England

2006

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“…nitroreducens (9,13,22), Neisseria elongata subsp. elongata (4,20), N. mucosa (7,17,26), N. cinerea (5), N. sicca (12,14,24), N. flavescens (25), and N. subflava (2, 23). While Neisseria species are typically gram-negative diplococci, there are some rod-shaped species such as N. elongata (6) and N. weaveri (3).…”

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confidence: 99%

“…Those most frequently encountered are N. elongata subsp. nitroreducens (at least 27 cases) (9,13,22), N. mucosa (20 cases) (7,17,26), N. sicca (14 cases) (12,14,24), and N. subflava (12 cases) (2,23). Other species, such as N. elongata subsp.…”

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Endocarditis Due to a New Rod-Shaped Neisseria sp

et al. 2005

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We report the first case of pacemaker endocarditis due to a new rod-shaped Neisseria sp. isolated from blood culture. On the basis of rrs sequencing, the isolate was found to be most closely related to an uncultured organism from human subgingival plaque and was identified as Neisseria sp. group AK105. A cure was achieved after a combination of surgical and antibiotic treatment. Oral flora-induced pacemaker endocarditis is a rare condition that reinforces the need for good oral hygiene as an important preventive measure.Apart from Neisseria meningitidis and N. gonorrhoeae, which are primary pathogens, all other Neisseria species are considered commensal inhabitants of the oro-or nasopharynx of humans or animals. These Neisseria spp. have only sporadically been associated with human illness, such as meningitis, bacteremia, endocarditis, pericarditis, empyema, or pneumonia, as opportunistic pathogens (19). Among these, only seven opportunistic Neisseria species have been occasionally involved in infective endocarditis: Neisseria elongata subsp. nitroreducens (9,13,22), Neisseria elongata subsp. elongata (4,20), N. mucosa (7,17,26), N. cinerea (5), N. sicca (12,14,24), N. flavescens (25), and N. subflava (2, 23). While Neisseria species are typically gram-negative diplococci, there are some rod-shaped species such as N. elongata (6) and N. weaveri (3). We report the first case of pacemaker endocarditis with secondary arthritis localization due to a new rod-shaped Neisseria sp. It was identified by sequencing the rrs gene coding for the 16S rRNA gene.A 38-year-old man presented with acute pain in the left shoulder associated with local inflammatory signs. During the preceding 3 weeks, he had developed dizziness, myalgia, and intense shivers. The patient had had a grade I atrioventricular block detected in 1993 and had then been equipped with a permanent pacemaker system. On admission, physical examination revealed left sternoclavicular stiffness and pain with localized heat and erythema around the affected joint. The patient presented neither fever nor respiratory, cardiovascular, gastrointestinal, or neurological signs. He complained also about dental pain which had started a few weeks before, although teeth and gums seemed healthy. Laboratory investigations revealed an erythrocyte sedimentation rate (ESR) of 92 mm/h, a C-reactive protein (CRP) concentration of 149 mg/ liter, and a leukocyte count of 9.8 ϫ 10 9 /liter with 75% polymorphonuclear (PMN) cells. Urine culture was negative. Plain dental and maxillary sinus X rays were normal. Plain X rays and a computed tomography scan of the sternoclavicular joints showed left joint space widening due to a localized edema, joint effusion, soft tissue swelling, and left clavicle erosion.Forty-eight hours after admission, the patient developed an acute-onset fever up to 39°C, chills, and shivers. Initial transesophageal echocardiography visualized a small heterogeneous mass suggesting vegetation on the intracardiac portion of the pacing wire on the atrial septum. Three se...

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Endocarditis due to Neisseria mucosa after tongue piercing

Cited by 62 publications

References 13 publications

Dental and oral complications of lip and tongue piercings

Dental and oral complications of lip and tongue piercings

An investigation into the practice of tongue piercing in the South West of England

Endocarditis Due to a New Rod-Shaped Neisseria sp

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