Infections with Rothia mucilaginosa are unusual in immunocompetent hosts and have not been associated with vasculitis. We present the first report of an endovascular pacemaker wire infection with R. mucilaginosa causing respiratory failure due to atypical antineutrophil cytoplasmic antibody-associated vasculitis, a brief overview of the clinical spectrum of infection with this unusual pathogen, and review the implications of a positive antineutrophil cytoplasmic antibody in the setting of endovascular infection.
From the Departments of *Medicine, Jersey Shore University Medical Center; and †UMDNJ-Robert Wood Johnson Medical School; and ‡Department of Pathology, Jersey Shore University Medical Center, Neptune, NJ.
Reprints: Michael P. Carson, MD, Department of Medicine, Jersey Shore University Medical Center, Ackerman 3, 1945 Route 33, Neptune, NJ 07753. E-mail: firstname.lastname@example.org.
The authors have no funding or conflicts of interest to disclose.