Veillonella spp. comprise anaerobic Gram-negative cocci that are a rare cause of septic arthritis in native joints. We report a case of septic arthritis of a native shoulder joint due to Veillonella dispar and Streptococcus bovis Biotype II in an elderly patient, with growth of both isolates from joint fluid. Streptococcus bovis was also isolated from blood culture. The Veillonella isolate was referred to the anaerobic reference laboratory for speciation and was confirmed to be V. dispar by use of a molecular method. The patient had an arthroscopic joint washout along with 1 month of appropriate antibiotic treatment and made a full recovery.
HoustonS., TaylorD., RennieR. Prosthetic valve endocarditis due to Veillonella dispar: successful medical treatment following penicillin desensitization.Clin Infect Dis1997; 24: 1013–4.
2.
LoughreyAC, ChewEW. Endocarditis caused by Veillonella dispar.J Infect1990; 21: 340–2.
3.
MarchandinH., Jean-PierreH., CarriereC.. Prosthetic joint infection due to Veillonella dispar.Eur J Clin Microbiol Infect Dis2001; 20: 340–2.
4.
Calder ónJ., PeiróME, PeñalverE. Septic arthritis due to Streptococcus bovis.Med Clin (Barc)1992; 98: 137–8.
5.
GrantRJ, ShangWY, WhiteheadTR. Isolated septic arthritis due to Streptococcus bovis.Clin Infect Dis1997; 24: 1021.
6.
García-PorrúaC., González-GayMA, MonterrosoJR, Sánchez-AndradeA., González-RamirezA. Septic arthritis due to Streptococcus bovis as presenting sign of ‘silent’ colon carcinoma.Rheumatology (Oxford)2000; 39: 338–9.
7.
ThotaPN, SanakaMR, ConwellDL. A 76-year-old man with septic arthritis.Cleve Clin J Med2002; 69: 549–53.
8.
MarínE., NavasC., Martín-VivaldiJ., García-TapiaA., Martín-HerreraL. Septic arthritis due to Streptococcus bovis in a patient with cirrhosis of enolic etiology.Rev Esp Enferm Dig2003; 95: 503–5.
9.
SmithPB, TomfohrdeKM, RhodenDL, BalowsA. API system: a multitube micromethod for identification of Enterobacteriaceae.Appl Microbiol.1972; 24(3): 449–52.
Gonzalez-JuanateyC., González-GayMA, LlorcaJ.. Infective endocarditis due to Streptococcus bovis in a series of nonaddict patients: clinical and morphological characteristics of 20 cases and review of the literature.Can J Cardiol2003; 19: 1139–45.
12.
Isner-HorobetiME, LecocqJ., DupeyronA.. Veillonella discitis. A case report.Joint Bone Spine2006; 73: 113–5.
13.
SinghN., YuVL. Osteomyelitis due to Veillonella parvula: case report and review.Clin Infect Dis1992; 14: 361–3.
14.
MarriottD., StarkD., HarknessJ. Veillonella parvula discitis and secondary bacteremia: a rare infection complicating endoscopy and colonoscopy?J Clin Microbiol2007; 45: 81–3.
LiuJW, WuJJ, WangLR, TengLJ, HuangTC. Two fatal cases of Veillonella bacteremia.Eur J Clin Microbiol Infect Dis1998; 17: 62–4.
17.
FisherRG, DenisonMR. Veillonella parvula bacteremia without an underlying source.J Clin Microbiol1996; 34: 3235–6.
18.
RouffKL, MillerSI, GarnerCV, FerraroMJ, CalderwoodSB. Bacteremia with Streptococcus bovis and Streptococcus salivarius: clinical correlates of more accurate identification of isolates.J Clin Microbiol1989; 27: 305–8.
