Subacute Propionibacterium acnes osteomyelitis of the spine in an adolescent

Moderate to severe facial acne is caused by infection with Propionibacterium acnes, an organism that has also been implicated in subacute osteomyelitis. The symptoms are often indolent in nature, but slowly progressive. We present a case report of subacute P. acnes osteomyelitis at our institution....

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Bibliographic Details
Published inJournal of pediatric orthopaedics. B Vol. 12; no. 4; p. 284
Main Authors Do, Twee T, Strub, William M, Witte, David
Format Journal Article
LanguageEnglish
Published United States 01.07.2003
Subjects
Adolescent
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - microbiology
Gram-Positive Bacterial Infections - diagnosis
Gram-Positive Bacterial Infections - pathology
Humans
Male
Osteomyelitis - diagnosis
Osteomyelitis - microbiology
Osteomyelitis - pathology
Propionibacterium acnes
Radiography
Spinal Diseases - microbiology
Spinal Diseases - pathology
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Summary:Moderate to severe facial acne is caused by infection with Propionibacterium acnes, an organism that has also been implicated in subacute osteomyelitis. The symptoms are often indolent in nature, but slowly progressive. We present a case report of subacute P. acnes osteomyelitis at our institution. A high index of suspicion and an extended incubation time are required for diagnosis. Treatment usually requires irrigation and debridement, with or without antibiotics.
ISSN:1060-152X
1473-5865
DOI:10.1097/00009957-200307000-00009