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Table 1 Clinical characteristics, treatment strategies and outcomes of the five cases of prosthetic joint infection caused by Granulicatella adiacens

From: Prosthetic joint infection caused by Granulicatella adiacens: a case series and review of literature

Number of cases

Age (years)

Sex

Location of Infection

Time delay between arthroplasty implantation and infection onset

Dental care before infection onset

Microbiologic diagnostics of G. adiacens

Associated microorganisms

Surgery treatment options

Antibiotics

Outcomes

Our 1st case

75

Male

Hip arthroplasty

4 years

Yes

Microbial culture of surgical biopsies was negative.

Parvimonas micra

Two-stage prosthesis exchange

Amoxicillin and clindamycin

Cured

16S rRNA gene sequencing on synovial fluid was positive.

Our 2nd case

65

Male

Knee arthroplasty

2 years

No

Maldi-Tof mass spectrometry on bacterial colonies.

Staphylococcus capitis

One-stage prosthesis exchange

Rifampicin and clindamycin

Cured

Our 3rd case

44

Female

Hip arthroplasty

10 years

No

Maldi-Tof mass spectrometry on bacterial colonies

Klebsiella pneumoniae

Debridement, antibiotics, irrigation, and retention of the prosthesis (DAIR)

Imipenem-cisplatin then ciprofloxacin and amoxicillin

Cured

16S rRNA gene sequencing on synovial fluid was positive.

Riede et al., 2004 [12]

43

Male

Knee arthroplasty

3 years

No

Microbial culture of surgical biopsies was positive but the microorganism could not be identified reliably by phenotypic methods

No

Two-stage prosthesis exchange

Amoxicillin, amikacin and rifampicin

Cured

16S rRNA gene sequencing on bacterial colonies

Mougari et al., 2013 [13]

55

Male

Knee arthroplasty

10 years

Yes

Microbial culture of surgical biopsies was negative.

No

Two-stage prosthesis exchange

Amoxicillin and rifampicin

Cured

16S rRNA gene sequencing on synovial fluid was positive.