Granulicatella adiacens: An uncommon diagnosis of prosthetic hip joint infection. A case report with review of the literature

Abstract

Highlights • Prosthetic hip infection caused by Granulicatella adiacens.• Diagnosis was achieved using broad range 16S PCR gene analysis at an early stage, after joint aspiration and culture failed to yield a pathogen.• Granulicatella adiacens is a nutritionally variant streptococcus (NVS).• Staged revision surgery together with administration of appropriate antibiotics resulted in cure.• Diagnosis challenging, and often delays appropriate antibiotic administration.