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The case of a 51-year-old man who underwent a total hip arthroplasty following failed AO screw fixation of a subcapital femoral neck fracture is reported. Infection of the prosthesis with Streptococcus bovis type 1 followed a febrile illness. Further investigation revealed an occult premalignant polyp in the proximal colon. Colonic neoplasia and S. bovis bacteremia are associated with endocarditis; however, S. bovis is a rare pathogen infecting joint prostheses and should raise the possibility of a gastrointestinal lesion.

Type

Journal article

Journal

J Arthroplasty

Publication Date

08/1995

Volume

10

Pages

554 - 555

Keywords

Colonic Polyps, Hip Prosthesis, Humans, Male, Middle Aged, Neoplasms, Unknown Primary, Prosthesis-Related Infections, Streptococcal Infections, Streptococcus bovis