An Oral Abscess as the Entrance Leading to Endocarditis: A Sexual Behavior Role

The risk factors for infective endocarditis (IE) in the population are changing: the reported worldwide increase in the incidence of IE has been associated with the widespread use of medical devices and procedures responsible of heath care associated infection. Endocarditis incurred by Streptococcus agalactiae inadults (nonpregnant females and men) has increased in recent years, even though the source of infection due to this bacterium and the portal of entry are unclear and not often well documented.

 
Concerning the possible sexual port of entry in the cause of endocarditis, this mode of transmission should be suspected in a search of clinical history, especially in recurrent endocarditis.