Yocum R C, McArthur J, Petty B G, Diehl A M, Moench T R
JAMA. 1982 Oct 8;248(14):1740-1.
The traditional view that Propionibacterium acnes is nonpathogenic for man, except as an agent associated with acne vulgaris, has been refuted. Propionibacterium acnes has been shown to cause endocarditis, meningitis, and other serious infections. We report a case of P acnes infection causing septic arthritis and contributing to a concurrent soft-tissue infection. This case supports and extends previous observations of the clinical importance of P acnes as a pathogen. A positive culture for P acnes cannot be uncritically dismissed as a bothersome contaminant without considering the clinical circumstances.
痤疮丙酸杆菌对人类无致病性，仅与寻常痤疮相关的传统观点已被驳斥。痤疮丙酸杆菌已被证明可引起心内膜炎、脑膜炎及其他严重感染。我们报告一例痤疮丙酸杆菌感染导致化脓性关节炎并并发软组织感染的病例。该病例支持并拓展了以往关于痤疮丙酸杆菌作为病原体的临床重要性的观察结果。在不考虑临床情况的前提下，不能不加批判地将痤疮丙酸杆菌阳性培养结果视为令人烦恼的污染物而不予理会。
