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Metacarpal Small Incision for Carpal Tunnel Syndrome
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Acute Propionibacterium acnes Infection After Carpal Tunnel Release

Jeffrey Bortman1, Alan Schefer2

  • 1New York Medical College School of Medicine, Westchester Medical Center, Valhalla, NY.

Journal of Hand Surgery Global Online
|April 13, 2022
PubMed

Insights

Propionibacterium acnes (P. acnes) can cause rare wrist and hand infections after surgery. This case highlights the need to consider P. acnes in persistent postoperative hand and wrist infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Propionibacterium acnes (P. acnes) is a common skin bacterium.
  • P. acnes is increasingly recognized in shoulder implant infections but is rare in wrist and hand infections.
  • Diagnosing P. acnes infections can be challenging due to slow growth and complex culture requirements.

Observation:

  • A case of acute P. acnes infection following carpal tunnel decompression is presented.
  • The patient experienced persistent postoperative symptoms suggestive of infection.

Findings:

  • P. acnes was identified as the primary causative agent of the postoperative infection.
  • The infection occurred despite the rarity of P. acnes in wrist and hand surgical sites.

Implications:

  • This case underscores the importance of considering P. acnes in the differential diagnosis of persistent postoperative wrist and hand infections.
  • Awareness of P. acnes as a potential pathogen may improve diagnostic accuracy and patient outcomes.
  • Further research may be warranted to understand the specific factors contributing to P. acnes infections in hand and wrist surgery.
Keywords:
Carpal tunnel syndromeInfectionPropionibacterium acnes

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