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Splenic abscess caused by Propionibacterium acnes

K M Gekowski, R Lopes, L LiCalzi

    The Yale Journal of Biology and Medicine
    |January 1, 1982
    PubMed
    Summary
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    Propionibacterium acnes bacteremia can indicate serious infection, not just skin contamination. This case highlights the need for careful evaluation of P. acnes in blood cultures, even in diabetic patients with myocardial infarction.

    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Microbiology

    Background:

    • Diabetes mellitus and acute myocardial infarction are significant risk factors for various infections.
    • Propionibacterium acnes (P. acnes) is a common skin commensal, often considered a contaminant in blood cultures.

    Observation:

    • A 59-year-old diabetic male with acute myocardial infarction presented with recurrent P. acnes bacteremia.
    • A large splenic abscess caused by P. acnes necessitated a splenectomy 15 months after initial admission.

    Findings:

    • Recurrent P. acnes bacteremia in this patient led to a significant clinical sequela (splenic abscess).
    • The case demonstrates that P. acnes can be a true pathogen, not solely a contaminant.

    Implications:

    Related Experiment Videos

    • Bloodstream infections with P. acnes warrant thorough investigation to rule out underlying pathology.
    • Clinicians should maintain a high index of suspicion for P. acnes as a causative agent of serious infections, particularly in immunocompromised or comorbid patients.