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Cutibacterium (Propionibacterium) acnes Infection of the Native Wrist Joint
Andrew R McKean1, Angelos Assiotis1, Sami Hassan1
1Department of Hand Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
The Journal of Hand Surgery
|October 6, 2019
Summary
Cutibacterium acnes (C. acnes) caused rapid wrist joint arthropathy, a rare occurrence. Prolonged cultures are crucial for diagnosing this native wrist infection.
Area of Science:
- Microbiology
- Infectious Diseases
- Rheumatology
Background:
- Cutibacterium (Propionibacterium) acnes (C. acnes) is a common skin commensal, frequently implicated in prosthetic joint infections.
- While typically associated with prosthetic joints, C. acnes infections in native joints are less understood.
Observation:
- A case of rapidly progressive arthropathy in a native wrist joint is presented.
- The infection was solely attributed to C. acnes, identified through prolonged enrichment cultures.
Findings:
- Diagnosis of C. acnes native wrist joint infection requires extended incubation periods for cultures.
- The patient achieved clinical improvement with a course of oral sulfamethoxazole-trimethoprim.
Implications:
- This case highlights C. acnes as a potential pathogen in native wrist joint infections.
- Clinicians should consider prolonged cultures for diagnosing rare joint infections.
- Early microbiological diagnosis is essential for effective treatment of C. acnes-related arthropathy.
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