Subclinical Presentation of Cutibacterium acnes Infection Following Revision Rotator Cuff Surgery

We present a unique case of an individual who presented with a culture-proven Cutibacterium acnes (C. acnes) infection 2.5 months after a revision arthroscopic rotator cuff repair. Instead of waiting for the result of aspiration cultures and consequently delaying surgery, we decided to take the patient to the operating room for arthroscopic irrigation and debridement on the date of presentation. Our purpose is to add to the existing evidence of C. acnes septic arthritis and, more specifically, to highlight the subclinical nature of this infection and our prompt decision to take the patient to the operating room for irrigation and debridement without culture-proven infection.