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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 18, Issue: 6, Page: 813-815
Knee
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Late infection of a total knee arthroplasty with Streptococcus bovis in association with carcinoma of the large intestine
Vince, Kelly G; Kantor, Stephen R; Descalzi, JavierKnee
Infection of a total knee arthroplasty with Streptococcus bovis in a 76-year-old man that led to the diagnosis of a bowel carcinoma is reported. Investigation revealed a malignancy in the ascending colon with extension into the adrenal gland. S bovis in conjunction with colonic neoplasia has been reported in several orthopedic conditions: vertebral osteomyelitis, discitis, lateral neck abscess, and osteomyelitis of the ileum. The relationship of S bovis to endocarditis, meningitis, brain abscesses, and peritonitis has also been well described. However, S bovis is a rare pathogen infecting joint prostheses and should raise the possibility of a gastrointestinal lesion.
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