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Case Reports in Orthopedics
Volume 2012 (2012), Article ID 691703, 4 pages
http://dx.doi.org/10.1155/2012/691703
Case Report

Gemella haemolysans Infection in Total Hip Arthroplasty

1Department of Orthopaedics, Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals NHS Foundation Trust, St. Peters Road, Margate, Kent CT9 4AN, UK
2Orthopaedic Department, SPORTSMED. SA, 32 Payneham Road, Stepney, SA 5069, Australia

Received 29 December 2011; Accepted 15 March 2012

Academic Editors: K.-I. KIM, S. A. Papadakis, and S. N. Parikh

Copyright © 2012 Barry Rose et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gemella haemolysans is a Gram-positive coccus and commensal of the upper respiratory tract and oral mucosa that rarely causes clinically important infections. There is only one previous report of this organism causing periprosthetic infection, in a total knee arthroplasty. We present a case of septic loosening of an uncemented total hip arthroplasty due to G. haemolysans, in an asplenic patient with insulin dependent diabetes mellitus. Treatment with two-stage revision has been successful at 7 years of follow-up.