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Published on: December 3, 2017
De novo Propionibacterium acnes septic arthritis
Thomas Crowhurst1, Joanna Tieu1, Shaun Fowler2
1Department of Rheumatology, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Abstract:
We report the third identifiable case of septic arthritis due to Propionibacterium acnes arising in the absence of prior surgical intervention. This anaerobic Gram-positive bacillus is now recognised as an important cause of postoperative infections, typically presenting in an indolent fashion some months after surgery. Reports of de novo septic arthritis due to P. acnes are exceedingly rare. Our case adds to the literature and significantly broadens the reported pathogenic potential of the organism, which in this instance has caused rapid and serious joint destruction.
Insights
Propionibacterium acnes (P. acnes) can cause septic arthritis without surgery. This rare case highlights the organism
Area of Science:
- Infectious Diseases
- Rheumatology
- Microbiology
Background:
- Propionibacterium acnes (P. acnes) is a known cause of postoperative joint infections.
- Septic arthritis due to P. acnes without prior surgery is exceptionally rare.
Purpose of the Study:
- To report a unique case of de novo septic arthritis caused by P. acnes.
- To expand understanding of P. acnes pathogenicity in joint infections.
Main Methods:
- Case report detailing clinical presentation and diagnostic findings.
- Microbiological analysis confirming P. acnes infection.
Main Results:
- A patient developed severe, rapidly progressing septic arthritis due to P. acnes.
- No history of surgical intervention preceded the infection.
Conclusions:
- P. acnes can cause severe native joint septic arthritis.
- This case broadens the known spectrum of P. acnes-related joint disease.
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