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Case Reports
. 2022 Aug 18;7(8):191.
doi: 10.3390/tropicalmed7080191.

Acute Hematogenous Periprosthetic Hip Infection by Gemella morbillorum, Successfully Treated with Debridement, Antibiotics and Implant Retention: A Case Report and Literature Review of Osteoarticular Gemella morbillorum Infections

Albert Pardo-Pol  1 , Daniel Pérez-Prieto  1 , Albert Alier  1 , Lucas Ilzarbe  2 , Lluïsa Sorlí  3 , Lluis Puig  1 , Santos Martínez-Díaz  1 , Joan Gómez-Junyent  3
Affiliations
Case Reports

Acute Hematogenous Periprosthetic Hip Infection by Gemella morbillorum, Successfully Treated with Debridement, Antibiotics and Implant Retention: A Case Report and Literature Review of Osteoarticular Gemella morbillorum Infections

Albert Pardo-Pol et al. Trop Med Infect Dis. .

Abstract

Gemella morbillorum is a facultative anaerobic, catalase-negative and non-spore forming Gram-positive cocci. It can be found as part of the normal oropharyngeal flora, in the gastrointestinal tract and the female genital tract. However, it can be a causal agent of infections such as endocarditis, meningitis or brain abscesses, and very rarely can cause osteoarticular infections. Herein, a case report of an acute hematogenous prosthetic hip infection caused by Gemella morbillorum, successfully treated with a DAIR and beta-lactam antibiotic therapy, is presented. We provide a literature review of the other orthopedic-related infections caused by this microorganism.

Keywords: Gemella morbillorum; implant retention; intestinal bacterial translocation; prosthetic joint infection.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Hip radiography showing the implanted prosthesis.
Figure 2
Figure 2
CT scan showing chronic inflammation of the liver with moderate ascites.
See this image and copyright information in PMC

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