Streptococcus gordonii —a rare cause of prosthetic joint infection in a total hip replacement

<span class="paragraphSection"><div class="boxTitle">Abstract</div>A 69-year-old female with a history of bilateral total hip replacements presented with rigors, fever and sudden onset left groin pain. A pelvic X-ray showed well-fixed implants. Blood results revealed a leucocytosis (white cell count 22.3 × 10⁹ l^–1) and elevated C-reactive protein (211 mg/l). Ultrasound-guided aspiration of her left hip grew <span style="font-style:italic;">Streptococcus gordonii</span>. No source infection could be identified apart from a new chronic sinus infection in a left upper incisor. Following a discussion with the patient a 6-week course of intravenous ceftriaxone was started and was successful in normalizing her inflammatory markers. She was placed on long-term suppressive amoxicillin following this. Her suppressive antibiotic therapy was complicated by the development of a clostridium difficile infection and her antibiotics were changed to doxycycline. At 1-year follow-up, she was asymptomatic with no further episodes of groin pain or fever.</span>

http://ift.tt/2jjhruM