Prosthetic knee arthritis due to Granulicatella adiacens after dental treatment

J Med Microbiol. 2013 Oct;62(Pt 10):1624-1627. doi: 10.1099/jmm.0.058263-0. Epub 2013 Jun 13.

Abstract

We report prosthetic knee arthritis in a 55-year-old diabetic man due to Granulicatella adiacens, a micro-organism present in the oral flora, usually described in endocarditis but rarely in prosthesis joint infection. This patient had undergone a dental extraction without antibiotic prophylaxis one month before, and an aseptic loosening of the prosthesis had been diagnosed previously. If antimicrobial prophylaxis against infective endocarditis for dental procedures is well established, such an approach is still controversial for joint prosthesis and should be considered in some conditions.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arthritis / diagnosis*
  • Arthritis / microbiology
  • Arthritis / pathology
  • Bacteriological Techniques
  • Carnobacteriaceae / isolation & purification*
  • DNA, Bacterial / chemistry
  • DNA, Bacterial / genetics
  • DNA, Ribosomal / chemistry
  • DNA, Ribosomal / genetics
  • Diabetes Complications
  • Gram-Positive Bacterial Infections / diagnosis*
  • Gram-Positive Bacterial Infections / microbiology
  • Gram-Positive Bacterial Infections / pathology
  • Humans
  • Knee Joint / diagnostic imaging
  • Knee Joint / microbiology
  • Knee Joint / pathology*
  • Male
  • Microscopy
  • Middle Aged
  • Molecular Sequence Data
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / pathology
  • RNA, Ribosomal, 16S / genetics
  • Radiography
  • Sequence Analysis, DNA
  • Stomatognathic Diseases / complications*

Substances

  • DNA, Bacterial
  • DNA, Ribosomal
  • RNA, Ribosomal, 16S

Associated data

  • GENBANK/D50540