Propionibacterium Acnes Infection of a Metacarpophalangeal Joint Arthroplasty.
Identifieur interne : 000538 ( Main/Exploration ); précédent : 000537; suivant : 000539Propionibacterium Acnes Infection of a Metacarpophalangeal Joint Arthroplasty.
Auteurs : Guillaume Bacle [France] ; Sheena K. Sikora [Australie] ; Eugene T H. Ek [Australie]Source :
- The Journal of hand surgery [ 1531-6564 ] ; 2017.
Abstract
Neglected and underestimated in the past, Propionibacterium acnes is currently the most prevalent organism associated with deep prosthetic infections around the shoulder. Surprisingly, it has never been reported as a cause of infection in the hand. Here we report a case of a late presentation of a P. acnes infection in a metacarpophalangeal joint replacement, resulting in chronic low-grade pain with movement. The patient underwent a 2-stage revision, with initial removal of the prosthesis. Positive cultures for P. acnes required 15 days of extended incubation. The patient subsequently had 6 weeks of oral antibiotics followed by a second-stage revision with a Silastic implant.
DOI: 10.1016/j.jhsa.2017.01.023
PubMed: 28259563
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Neglected and underestimated in the past, Propionibacterium acnes is currently the most prevalent organism associated with deep prosthetic infections around the shoulder. Surprisingly, it has never been reported as a cause of infection in the hand. Here we report a case of a late presentation of a P. acnes infection in a metacarpophalangeal joint replacement, resulting in chronic low-grade pain with movement. The patient underwent a 2-stage revision, with initial removal of the prosthesis. Positive cultures for P. acnes required 15 days of extended incubation. The patient subsequently had 6 weeks of oral antibiotics followed by a second-stage revision with a Silastic implant.</div>
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