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Open Access Highly Accessed Case report

Streptococcus gordonii septic arthritis : two cases and review of literature

Jean cyr Yombi1*, Leila Belkhir1, Sylvie Jonckheere1, Dunja Wilmes1, Olivier Cornu2, Bernard Vandercam1 and Hector Rodriguez-Villalobos3

Author Affiliations

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

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BMC Infectious Diseases 2012, 12:215  doi:10.1186/1471-2334-12-215

Published: 13 September 2012

Abstract

Background

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.

Case Presentation

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.

Conclusion

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.

Keywords:
Septic arthritis; Streptococcus gordonii; Prosthetic joint infection; Endocarditis