Crowhurst Thomas, Tieu Joanna, Fowler Shaun, Burnet Simon
Department of Rheumatology, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Fowler Simmons Radiology, Adelaide, South Australia, Australia.
BMJ Case Rep. 2016 Sep 26;2016:bcr2016216693. doi: 10.1136/bcr-2016-216693.
We report the third identifiable case of septic arthritis due to Propionibacterium acnes arising in the absence of prior surgical intervention. This anaerobic Gram-positive bacillus is now recognised as an important cause of postoperative infections, typically presenting in an indolent fashion some months after surgery. Reports of de novo septic arthritis due to P. acnes are exceedingly rare. Our case adds to the literature and significantly broadens the reported pathogenic potential of the organism, which in this instance has caused rapid and serious joint destruction.
我们报告了第三例可确认的由痤疮丙酸杆菌引起的脓毒性关节炎病例，该病例在未进行过先前手术干预的情况下出现。这种厌氧革兰氏阳性杆菌现在被认为是术后感染的重要原因，通常在手术后数月以一种隐匿的方式出现。关于痤疮丙酸杆菌引起的原发性脓毒性关节炎的报道极为罕见。我们的病例丰富了文献，并显著拓宽了该生物体已报道的致病潜力，在这种情况下，它导致了快速且严重的关节破坏。
