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Published on: November 1, 2024
Propionibacterium acnes: infection beyond the skin
Alexandra Perry1, Peter Lambert
1Eurofins Agroscience Services Ltd, Slade Lane, Wilson, Melbourne, Derbyshire, DE73 8AG, UK.
Abstract:
Propionibacterium acnes is a Gram-positive bacterium that forms part of the normal flora of the skin, oral cavity, large intestine, the conjunctiva and the external ear canal. Although primarily recognized for its role in acne, P. acnes is an opportunistic pathogen, causing a range of postoperative and device-related infections. These include infections of the bones and joints, mouth, eye and brain. Device-related infections include those of joint prostheses, shunts and prosthetic heart valves. P. acnes may play a role in other conditions, including inflammation of the prostate leading to cancer, SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome, sarcoidosis and sciatica. If an active role in these conditions is established there are major implications for diagnosis, treatment and protection. Genome sequencing of the organism has provided an insight into the pathogenic potential and virulence of P. acnes.
Insights
Propionibacterium acnes, commonly known for acne, is an opportunistic pathogen causing various infections. Understanding its virulence through genome sequencing is key for diagnosis and treatment.
Area of Science:
- Microbiology
- Infectious Diseases
- Genomics
Background:
- Propionibacterium acnes is a common skin bacterium.
- It is an opportunistic pathogen causing diverse infections.
- These include device-related and postoperative infections.
Purpose of the Study:
- To explore the pathogenic potential and virulence of P. acnes.
- To understand its role in various infections and conditions.
- To highlight implications for diagnosis and treatment.
Main Methods:
- Analysis of P. acnes genome sequencing data.
- Review of existing literature on P. acnes infections.
- Investigation of P. acnes' role in non-acne conditions.
Main Results:
- P. acnes is implicated in bone, joint, and device infections.
- It may play a role in conditions like prostatitis and SAPHO syndrome.
- Genome data offers insights into its virulence factors.
Conclusions:
- P. acnes is a significant opportunistic pathogen beyond acne.
- Further research is needed to confirm its role in other diseases.
- Understanding its pathogenicity is crucial for clinical management.
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