Streptococcus salivarius Prosthetic Joint Infection following Dental Cleaning despite Antibiotic Prophylaxis

We present the case of a 92-year-old man with septic arthritis of a prosthetic hip joint due to Streptococcus salivarius one week following a high-risk dental procedure despite preprocedure amoxicillin. S. salivarius is a commensal bacterium of the human oral mucosa that is an uncommon cause of bact...

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Bibliographic Details
Published in:Case reports in infectious diseases 2019-01, Vol.2019 (2019), p.1-4
Main Authors: Hostler, Christopher J., Cox, Gary M., Turner, Daniel J., Olson, Lyra B.
Format: Article
Language:English
Subjects:
Amoxicillin
Antibiotics
Arthritis
Baby boomers
Case Report
Case reports
Endocarditis
Health aspects
Hospitals
Implants, Artificial
Infection
Infections
Infectious diseases
Joint surgery
Laboratories
Pain
Patients
Prevention
Prostheses
Prosthesis
Surgeons
Tazobactam
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Summary:We present the case of a 92-year-old man with septic arthritis of a prosthetic hip joint due to Streptococcus salivarius one week following a high-risk dental procedure despite preprocedure amoxicillin. S. salivarius is a commensal bacterium of the human oral mucosa that is an uncommon cause of bacteremia. S. salivarius has previously been described as a causative agent of infective endocarditis and spontaneous bacterial peritonitis but was only recently recognized as a cause of prosthetic joint infection. This case highlights the potential pathogenicity of a common commensal bacteria and the questionable utility of prophylactic antibiotics before dental procedures to prevent periprosthetic joint infections.
ISSN:2090-6625
2090-6633
DOI:10.1155/2019/8109280