Osteomyelitis of the Hip due to Granulicatella adiacens: A Case Report of an Extremely Rare Cause of Bone Infection
Niccolò Garofalo, Lorenzo Onorato, Margherita Macera, Ilaria De Luca, Gabriele Martin, Gianluca Conza, Annalisa Itro, Nicola Coppola, Giuseppe Toro, Priya Gusain · 2026
Read Osteomyelitis of the Hip due to Granulicatella adiacens: A Case Report of an Extremely Rare Cause of Bone Infection by Niccolò Garofalo, Lorenzo Onorato, Margherita Macera, Ilaria De Luca, Gabriele Martin, Gianluca Conza, Annalisa Itro, Nicola Coppola, Giuseppe Toro, Priya Gusain (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13392416.txt.
Description
Niccolò Garofalo leads a team reporting hip bone infection caused by Granulicatella adiacens, a mouth bacterium almost never linked to osteomyelitis. Their patient was a 59-year-old man who first complained of low back pain. The authors present the case as the first of its kind for the hip, alongside a review of earlier reports.
Standard cultures can miss this organism, so identification relied on sequencing of the 16S ribosomal RNA gene. Care combined repeated surgical cleaning, a cement spacer carrying antibiotics that was later renewed, and finally a hip prosthesis, with doxycycline and cotrimoxazole given throughout. Infection cleared by final follow-up, although hip function remained poor, and the authors note that missed diagnosis may explain why such cases seem so rare.
Catalog record
| CREATOR | Niccolò Garofalo, Lorenzo Onorato, Margherita Macera, Ilaria De Luca, Gabriele Martin, Gianluca Conza, Annalisa Itro, Nicola Coppola, Giuseppe Toro, Priya Gusain |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 35705 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |