1887

Abstract

Introduction:

is 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.

Case presentation:

We describe a prosthetic hip joint infection in an 81-year-old fit and healthy man due to who 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.

Conclusion:

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.

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2016-06-28
2020-09-23
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References

  1. Cargill J. S., Scott K. S., Gascoyne-Binzi D., Sandoe J. A.. 2012; Granulicatella infection: diagnosis and management. J Med Microbiol61:755–761 [CrossRef][PubMed]
    [Google Scholar]
  2. Collins M. D., Lawson P. A.. 2000; The genus Abiotrophia (Kawamura et al.) is not monophyletic: proposal of Granulicatella gen. nov., Granulicatella adiacens comb. nov., Granulicatella elegans comb. nov. and Granulicatella balaenopterae comb. nov. Int J Syst Evol Microbiol50:365–369 [CrossRef][PubMed]
    [Google Scholar]
  3. Mougari F., Jacquier H., Berçot B., Hannouche D., Nizard R., Cambau E., Zadegan F.. 2013; Prosthetic knee arthritis due to Granulicatella adiacens after dental treatment. J Med Microbiol62:1624–1627 [CrossRef][PubMed]
    [Google Scholar]
  4. Riede U., Graber P., Ochsner P. E.. 2004; Granulicatella (Abiotrophia) adiacens infection associated with a total knee arthroplasty. Scand J Infect Dis36:761–764 [CrossRef][PubMed]
    [Google Scholar]
  5. Simmons N. A., Ball A. P., Cawson R. A., Eykyn S. J., Hughes S. P. F., Mcgowan D. A., Shanson D. C.. 1992; Case against antibiotic prophylaxis for dental treatment of patients with joint prostheses. The Lancet339:301 [CrossRef]
    [Google Scholar]
  6. Siqueira J. F., Rôças I. N.. 2006; Catonella morbi and Granulicatella adiacens: new species in endodontic infections. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology102:259–264 [CrossRef]
    [Google Scholar]
  7. Sollecito T. P., Abt E., Lockhart P. B., Truelove E., Paumier T. M., Tracy S. L., Tampi M., Beltrán-Aguilar E. D., Frantsve-Hawley J.. 2015; The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints: Evidence-based clinical practice guideline for dental practitioners--a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc146:11–16 [CrossRef][PubMed]
    [Google Scholar]
  8. American Academy of Orthopapedic Surgeons 2009; Antibiotic prophylaxis for bacteremia in patients with joint replacements. Information Statement1033:
    [Google Scholar]
  9. Trampuz A., Zimmerli W.. 2005; Prosthetic joint infections: update in diagnosis and treatment. Swiss Med Wkly135:243–251[PubMed]
    [Google Scholar]
  10. Watters W., Rethman M. P., Hanson N. B., Abt E., Anderson P. A., Carroll K. C., Futrell H. C., Garvin K., Glenn S. O., Hellstein J.. 2013; Prevention of orthopaedic implant infection in patients undergoing dental procedures. J Am Acad Orthop Surg21:180–189 [CrossRef][PubMed]
    [Google Scholar]
  11. Young H., Hirsh J., Hammerberg E. M., Price C. S.. 2014; Dental disease and periprosthetic joint infection. J Bone Joint Surg Am96:162–168 [CrossRef][PubMed]
    [Google Scholar]
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