Abstract
Propionibacterium acnes, a micro-organism with low pathogenicity, rarely causes arthritis in a joint without a prosthesis. This report deals with two cases of P acnes infectious arthritis probably caused by direct penetration of the micro-organism into the joint space during arthrocentesis, despite the use of strict disinfection procedures. P acnes isolated from synovial fluid cannot be dismissed as a bothersome contaminant without due consideration of the clinical status of the individual patient.
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- Bartholomew L. E., Nelson F. R. Corynebacterium acnes in rheumatoid arthritis. I. Isolation and antibody studies. Ann Rheum Dis. 1972 Jan;31(1):22–27. doi: 10.1136/ard.31.1.22. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goldenberg D. L., Cohen A. S. Acute infectious arthritis. A review of patients with nongonococcal joint infections (with emphasis on therapy and prognosis). Am J Med. 1976 Mar;60(3):369–377. doi: 10.1016/0002-9343(76)90753-1. [DOI] [PubMed] [Google Scholar]
- Meijers K. A., Dijkmans B. A., Hermans J., van den Broek P. J., Cats A. Non-gonococcal infectious arthritis: a retrospective study. J Infect. 1987 Jan;14(1):13–20. doi: 10.1016/s0163-4453(87)90704-3. [DOI] [PubMed] [Google Scholar]
- Morrey B. F., Fitzgerald R. H., Kelly P. J., Dobyns J. H., Washington J. A., 2nd Diphtheroid osteomyelitis. J Bone Joint Surg Am. 1977 Jun;59(4):527–530. [PubMed] [Google Scholar]
- Rosenthal J., Bole G. G., Robinson W. D. Acute nongonococcal infectious arthritis. Evaluation of risk factors, therapy, and outcome. Arthritis Rheum. 1980 Aug;23(8):889–897. doi: 10.1002/art.1780230803. [DOI] [PubMed] [Google Scholar]
- Savolainen H. A., von Essen R., Nissinen A. J., Jahkola M. Propionibacterium acnes in purulent arthritis: probable cause of iatrogenic infection. J Rheumatol. 1988 Jun;15(6):1040–1041. [PubMed] [Google Scholar]
- Wilson W. R., Martin W. J., Wilkowske C. J., Washington J. A., 2nd Anaerobic bacteremia. Mayo Clin Proc. 1972 Sep;47(9):639–646. [PubMed] [Google Scholar]
- Yocum R. C., McArthur J., Petty B. G., Diehl A. M., Moench T. R. Septic arthritis caused by Propionibacterium acnes. JAMA. 1982 Oct 8;248(14):1740–1741. [PubMed] [Google Scholar]