Late prosthetic joint infection due to Rothia mucilaginosa.
We report a chronic hip arthroplasty infection with Rothia mucilaginosa, a Gram-positive germ belonging to the normal flora of the human oral cavity. Successful treatment was achieved by a two-stage hip arthroplasty revision and intravenous administration of vancomycin. This case report illustrates the potential virulence of R. mucilaginosa in patients with a joint prosthesis. We propose to routinely perform specific staining and prolonged culturing techniques for unusual germs such as Rothia mucilaginosa when the clinical history, physical examination or intra-operative findings suggest an implant infection. This paper reviews current antibiotic prophylaxis guidelines for infection prevention of joint arthroplasties during dental procedures.
Michels
Frederick
F
Department of Laboratory Medicine and Bacteriology, AZ Groeninge Hospital, Kortrijk, Belgium. frederick_michels@hotmail.com
Colaert
Johan
J
Gheysen
Filip
F
Scheerlinck
Thierry
T
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019072:Antibiotic Prophylaxis; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D002908:Chronic Disease; D015897:Comorbidity; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D006094:Gram-Positive Bacteria / Q000187:drug effects; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000601:surgery*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000453:epidemiology / Q000382:microbiology* / Q000517:prevention & control / Q000601:surgery*; D012086:Reoperation; D018570:Risk Assessment; D013997:Time Factors; D014081:Tooth Extraction; D014640:Vancomycin / Q000008:administration & dosage*
D000900:Anti-Bacterial Agents; D014640:Vancomycin