Snapshot A 32-year-old man presents to his primary care physician for a wellness examination. He reports to currently feeling well; however, he notices severe discomfort and pain in his mouth. He denies any trauma to the area but endorses infrequently brushing his teeth. Medical history is significant for a ventricular septal defect that has not required repair. Physical examination is remarkable for dental caries leading to pulpitis. He is referred to a dentist for immediate dental care. Prior to tooth extraction, he will require prophylactic amoxicillin. Introduction Classification login to view 4 more bullets Reservoir login to view 1 more bullet Microbiology login to view 12 more bullets Pathogenesis login to view 8 more bullets Presentation Odontogenic infections (e.g., dental caries, gingivitis, and periodontitis) login to view 6 more bullets Endocarditis login to view 8 more bullets Studies α-hemolytic growth pattern Optochin resistant login to view 1 more bullet Differential Other causes of endocarditis login to view 2 more bullets Treatment Medical login to view 10 more bullets Complications Sepsis Abscess