Streptococcus bovis-infected total hip arthroplasty.
The case of a 51-year-old man who underwent a total hip arthroplasty following failed AO screw fixation of a subcapital femoral neck fracture is reported. Infection of the prosthesis with Streptococcus bovis type 1 followed a febrile illness. Further investigation revealed an occult premalignant polyp in the proximal colon. Colonic neoplasia and S. bovis bacteremia are associated with endocarditis; however, S. bovis is a rare pathogen infecting joint prostheses and should raise the possibility of a gastrointestinal lesion.
Nuffield Orthopaedic Centre, Headington, Oxford.
M E
ME
Emerton
D W
DW
Crook
P H
PH
Cooke
D003111:Colonic Polyps / Q000150:complications* / Q000175:diagnosis; D006622:Hip Prosthesis / Q000009:adverse effects* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009382:Neoplasms, Unknown Primary / Q000175:diagnosis*; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications*; D016985:Streptococcus bovis