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[Propionibacterium acnes adenitis].

Valérie Chanet1, Jean-Pierre Romaszko, Jean-Marc Rolain

  • 1Fédération de maladies infectieuses, médecine interne, Hématologie, Hôtel-Dieu, Clermont-Ferrand. vchanet@chu-clermontferrnad.fr

Presse Medicale (Paris, France : 1983)
|October 18, 2005
PubMed
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Propionibacterium acnes, a skin bacterium, rarely causes serious infections. This report details a unique case of bilateral abscessed inguinal lymphadenitis caused by P. acnes, a condition previously undocumented.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Dermatology

Background:

  • Propionibacterium acnes (P. acnes) is a common skin commensal, typically associated with acne vulgaris.
  • While P. acnes can cause opportunistic infections, severe manifestations are rare, often involving cutaneous or osteoarticular sites.

Observation:

  • A 32-year-old male presented with progressive, bilateral inguinal lymphadenopathy characterized by erythema, pain, and purulent discharge with skin fistulation.
  • Microbiological culture of surgical samples confirmed the presence of P. acnes as the causative agent.

Findings:

  • This case represents the first documented instance of P. acnes causing bilateral abscessed lymphadenitis in the inguinal region.
  • While P. acnes has been linked to lymph node granulomas, particularly in sarcoidosis, abscess formation is a novel presentation.

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Implications:

  • Highlights the potential for P. acnes to cause severe, localized infections beyond its typical association with acne.
  • Underscores the importance of considering P. acnes in the differential diagnosis of lymphadenitis, especially in cases with cutaneous involvement.
  • Suggests the need for further investigation into the pathogenic mechanisms of P. acnes in diverse clinical settings.