title: Two cases of discitis due to Propionibacterium acnes.
abstract: We report two cases of discitis due to Propionibacterium acnes and review previously published cases of bone and joint infections in which this organism was recovered as a pure culture. P. acnes is an anaerobic organism usually considered a normal inhabitant of the skin but capable of producing a variety of infections including discitis, osteitis, arthritis, and chest wall osteitis. Most patients were immunocompetent. A few infections occurred spontaneously, whereas others were secondary to a break in the skin or to implantation of foreign material into the body for instance during internal fixation of a fracture or arthroplasty. Cases of P. acnes chest wall infection have been reported in patients with palmoplantar pustulosis or chronic or multifocal osteitis, supporting a role for P. acnes in SAPHO syndrome.
authors.affiliation: Rheumatology Department, Corbeil Hospital, Corbeil, France.
authors.forename: J
authors.initials: J
authors.lastname: Crouzet
authors.forename: P
authors.initials: P
authors.lastname: Claudepierre
authors.forename: E H
authors.initials: EH
authors.lastname: Aribi
authors.forename: C
authors.initials: C
authors.lastname: Malbrunot
authors.forename: L
authors.initials: L
authors.lastname: Beraneck
authors.forename: L H
authors.initials: LH
authors.lastname: Juan
authors.forename: B
authors.initials: B
authors.lastname: Larget-Piet
mesh_terms: D000328:Adult; D015299:Discitis / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections; D006801:Humans; D008297:Male; D008875:Middle Aged; D011425:Propionibacterium acnes