Streptococcus gordonii septic arthritis : two cases and review of literature
1 Departement of Internal Medicine and Infectious Diseases, Cliniques Universitaires Saint Luc, Université catholique de louvain, 10 avenue hippocrate, Brussels 1200, Belgium
2 Departement of Orthopaedic Surgery, Cliniques Universitaires Saint Luc, Université catholique de louvain, 10 avenue hippocrate, Brussels, 1200, Belgium
3 Departement of Microbiology, Cliniques Universitaires Saint Luc, Université catholique de louvain, 10 avenue hippocrate, Brussels, 1200, Belgium
BMC Infectious Diseases 2012, 12:215 doi:10.1186/1471-2334-12-215Published: 13 September 2012
Despite advances in antimicrobial and surgical therapy, septic arthritis remains a rheumatologic emergency that can lead to rapid joint destruction and irreversible loss of function. In adults, Staphylococcus aureus is the most common microorganism isolated from native joints. Streptococcus gordonii is a prominent member of the viridans group of oral bacteria and is among the bacteria most frequently identified as being primary agent of subacute bacterial endocarditis. To the best of our knowledge, Streptococcus gordonii has not yet been described as agent of septic arthritis.
We describe here two cases of septic arthritis due to Streptococcus gordonii. It gives us an opportunity to review epidemiology, diagnosis criteria and management of septic arthritis.
Although implication of S. gordonii as aetiologic agent of subacute endocarditis is well known, this organism is a rare cause of septic arthritis. In this case, the exclusion of associated endocarditis is warranted.