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UNLABELLED: Streptococcus gallolyticus is a group D streptococcus which was previously classified as part of the S. bovis/S. equinus complex. It is a rare pathogen in prosthetic joint infection but has been demonstrated to have a strong association with colorectal carcinoma. In this case, a patient with no symptomatology suggestive of colorectal carcinoma presented with a S. gallolyticus prosthetic joint infection. Awareness of the association prompted investigation and subsequent diagnosis of colorectal carcinoma which was successfully treated prior to two-stage revision knee replacement. LEVEL OF EVIDENCE: V.

Original publication

DOI

10.1007/s00167-011-1646-2

Type

Journal article

Journal

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

Publication Date

06/2012

Volume

20

Pages

1069 - 1070

Addresses

Combined Orthopaedic and Medical Microbiology Service, Royal Berkshire NHS Foundation Trust, London Road, Reading RG1 5AN, UK. alexander.liddle@doctors.org.uk

Keywords

Humans, Enterococcus faecalis, Gram-Positive Bacterial Infections, Prosthesis-Related Infections, Adenocarcinoma, Colonic Neoplasms, Knee Prosthesis, Aged, Male