Late Streptococcus bovis infection of knee arthroplasty and its association with carcinoma of the colon: a case report
Knee
First Online:
Received:
Accepted:
- 138 Downloads
- 5 Citations
Abstract
Streptococcus bovis is a very rare cause of infection of joint arthroplasty. Infections with S. bovis have been reported to be associated with various gastrointestinal conditions. We present a case of total knee arthroplasty infected with S. bovis 40 months after a successful knee replacement. The diagnosis was established on joint fluid as well as blood cultures. Early diagnosis, arthroscopic wash out and appropriate antibiotics helped salvage the prosthesis. Early colonoscopy revealed carcinoma of the sigmoid colon that was surgically resected.
Keywords
Knee Arthroplasty Streptococcus bovis InfectionReferences
- 1.Emerton ME, Crook DW, Cooke PH (1995) Streptococcus bovis-infected total hip arthroplasty. J Arthroplasty 10:554–555PubMedCrossRefGoogle Scholar
- 2.Garcia-Porrua C, Gonzalez-Gay MA, Monterroso JR, Sanchez-Andrade A, Gonzalez-Ramirez A (2000) Septic arthritis due to Streptococcus bovis as presenting sign of ‘silent’ colon carcinoma. Rheumatology 39:338–339PubMedCrossRefGoogle Scholar
- 3.Grant RJ, Shang WY, Whitehead TR (1997) Isolated septic arthritis due to Streptococcus bovis. Clin Infect Dis 24:1021PubMedGoogle Scholar
- 4.Klein RS, Recco RA, Catalano MT, Edberg SC, Casey JI, Steigbigel NH (1977) Association of Streptococcus bovis with carcinoma of the colon. N Engl J Med 297:800–802PubMedCrossRefGoogle Scholar
- 5.Ribaudo TP, Januzzi JL (1981) Streptococcus bovis bacteraemia following surgical cure of colonic cancer. Am J Gastroenterol 76:542–543PubMedGoogle Scholar
- 6.Thota PN, Sanaka MR, Conwell DL (2002) A 76-year-old man with septic arthritis. Cleve Clin J Med 69:549–553PubMedCrossRefGoogle Scholar
- 7.Vince KG, Kantor SR, Descalzi J (2003) Late infection of a total knee arthroplasty with Streptococcus bovis in association with carcinoma of the large intestine. J Arthroplasty 18:813–815PubMedCrossRefGoogle Scholar
Copyright information
© Springer-Verlag 2006