{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:40:08Z","timestamp":1745768408889,"version":"3.40.4"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p><jats:italic>Streptococcus bovis<\/jats:italic>is rare cause of late infections after total knee replacement (TKR). This report presents a case of confirmed late septic arthritis following TKR caused by<jats:italic>S bovis<\/jats:italic>that was further complicated with infective endocarditis resulting in aortic valve insufficiency in an immunecompetent patient. As an association between<jats:italic>S bovis<\/jats:italic>and gastrointestinal malignancies is suggested, a workup for such malignancies was performed that revealed non-malignant ulcers in patient's ascending colon. The patient is currently recovering from his aortic valve replacement surgery and is scheduled to have annual colonoscopies. His knee joint has improved; however, he developed constant pain because of underlying chronic infection in the affected joint and has difficulties mobilising. Therefore, a revision TKR is considered but postponed until he fully recovers from his heart valve surgery.<\/jats:p>","DOI":"10.1136\/bcr-2013-008709","type":"journal-article","created":{"date-parts":[[2013,6,6]],"date-time":"2013-06-06T05:38:36Z","timestamp":1370497116000},"page":"bcr2013008709","source":"Crossref","is-referenced-by-count":4,"title":["Late<i>Streptococcus bovis<\/i>infection of total knee replacement complicated by infective endocarditis and associated with colonic ulcers"],"prefix":"10.1136","volume":"2013","author":[{"given":"Mathias Thomas","family":"Nagy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sann Minn","family":"Hla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham 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