title: Granulicatella adiacensprosthetic hip joint infection after dental treatment.
abstract: BACKGROUND
  Granulicatella adiacensis a Gram-positive bacteria and a normal component of oral flora. It is also found in dental plaques, endodontic abscesses and can rarely cause more serious infections.
  
  
  METHODS
  We describe a prosthetic hip joint infection in an 81-year-old fit and healthy man due toGranulicatella adiacenswho underwent a prolonged dental intervention two days earlier without antibiotic prophylaxis. The infection was successfully treated with surgical intervention and a combination of antibiotics. The patient eventually succumbed to severe community-acquired pneumonia two months later.
  
  
  CONCLUSIONS
  Current guidelines recommend avoidance of antibiotic prophylaxis prior to dental treatment in patients who have no co-morbidities and no prior operation on the index prosthetic joint. This case report indicates that infections of prosthetic joints may be associated with dental procedures even in fit and healthy patients without the recognized risk factors.
authors.affiliation: Department of Trauma and Orthopaedics, Peterborough City Hospital, Edith Cavell Campus, Bretton Gate , Peterborough, Cambridgeshire, PE3 9GZ , UK.
authors.forename: Osama
authors.initials: O
authors.lastname: Aweid
authors.affiliation: Department of Trauma and Orthopaedics, Luton and Dunstable University Hospital NHS Trust , Luton, LU4 0DZ , UK.
authors.forename: Sabapathy
authors.initials: S
authors.lastname: Sundararajan
authors.affiliation: Department of Microbiology, Luton and Dunstable University Hospital NHS Trust , Luton, LU4 0DZ , UK.
authors.forename: Abraham
authors.initials: A
authors.lastname: Teferi
keywords: Disease/Indication: prosthetic joint infection; Pathology/Symptoms: Granulicatella adiacens; Treatment: antibiotics