title: First report of prosthetic joint infection by Gemella sanguinis and associated "pseudosatelliting" phenomenon on culture.
abstract: We report the first case of a prosthetic joint infection caused by Gemella sanguinis. This report includes a description of a "pseudosatelliting" phenomenon by G. sanguinis, the use of gene sequencing for pathogen identification, and successful use of debridement, retention, and chronic antibiotic suppression to preserve the prosthesis.
authors.affiliation: Division of Infectious Diseases, Beth Israel Deaconess Medical Center, 110 Francis St., Suite GB, Boston, MA 02215, USA.
authors.forename: Daniel T
authors.initials: DT
authors.lastname: Leung
authors.forename: Eric M
authors.initials: EM
authors.lastname: Davis
authors.forename: Qinfang
authors.initials: Q
authors.lastname: Qian
authors.forename: Howard S
authors.initials: HS
authors.lastname: Gold
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001431:Bacteriological Techniques / Q000379:methods; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D003646:Debridement; D058834:Gemella / Q000302:isolation & purification*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D017422:Sequence Analysis, DNA; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S