Rothia prosthetic knee joint infection.
Rothia species - Gram-positive pleomorphic bacteria that are part of the normal oral and respiratory flora - are commonly associated with dental cavities and periodontal disease although systemic infections have been described. We describe a 53-year-old female with rheumatoid arthritis complicated by prosthetic knee joint infection due to Rothia species, which was successfully treated by surgical removal of prosthesis and prolonged antimicrobial therapy. The issue of antibiotic prophylaxis before dental procedures among patients with prosthetic joint replacements is discussed.
Division of Infectious Diseases, Department of Medicine, Hofstra North Shore-LIJ School of Medicine, 400 Community Drive, Manhasset, NY 11030, USA.
Manish N
MN
Trivedi
Division of Infectious Diseases, Department of Medicine, Hofstra North Shore-LIJ School of Medicine, 400 Community Drive, Manhasset, NY 11030, USA. Electronic address: Pmalhotr@nshs.edu.
Prashant
P
Malhotra
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications; D003646:Debridement; D005260:Female; D006094:Gram-Positive Bacteria / Q000145:classification / Q000302:isolation & purification*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D007719:Knee Joint / Q000473:pathology; D008875:Middle Aged; D010003:Osteoarthritis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents
Dental; Infection; Joint; Prosthetic; Rothia