- see anaerobic joint infections
- slow growing, typically aerotolerant anaerobic gram positive bacterium;
- found in skin pores and the gut.
- may colonize the axilla (esp in males)
- positive cultures may be seen patients having revision shoulder arthroplasty performed for pain, stiffness, and component loosening
- main clinical findings may be unexplained pain, stiffness, or component loosening months to years after the index arthroplasty.
- note difficulty in obtaining positive cultures from standard lab cultures;
- see A Microbial Biorealm page on the genus Propionibacterium and Propionibacterium Infections for e-Medicine
- may be most common cause of rotator cuff infections;
- Deep Infection after Rotator Cuff Repair.
- Infection after mini-open rotator cuff repair.
- Propionibacterium acnes colonization of the human shoulder.
- Positive Culture Rate in Revision Shoulder Arthroplasty
- Propionobacter acnes Infection as an Occult Cause of Postoperative Shoulder Pain: A Case Series
- total joint infection:
- Propionibacterium acnes: an agent of prosthetic joint infection and colonization.
- Microbiologic diagnosis of prosthetic shoulder infection by use of implant sonication.
- Species of Propionibacterium and Propionibacterium acnes types associated with orthopedic implants
- Propionibacterium spp. in prosthetic joint infections: a diagnostic challenge
- Late anaerobic haematogenous infection of total joint replacement. A study in the rabbit using Propionibacterium acnes.
- Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge.
- Prognostic factors for bacterial cultures positive for Propionibacterium acnes and other organisms in a large series of revision shoulder arthroplasties performed for stiffness, pain, or loosening.
- Prosthesis Failure Within 2 Years of Implantation Is Highly Predictive of Infection
- Early Versus Late Culture Growth of Propionibacterium acnes in Revision Shoulder Arthroplasty
- Arthroplastic and osteosynthetic infections due to Prop acnes: study of 52 cases, 1995-2002.
- Nonunion after clavicle osteosynthesis: High incidence of Propionibacterium acnes.
Propionibacterium acnes: an under-appreciated cause of post-neurosurgical infection.
Origin of Propionibacterium in Surgical Wounds and Evidence-Based Approach for Culturing Propionibacterium from Surgical Sites
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Thursday, January 26, 2017 9:38 am