title: Septic arthritis of the hip with Propionibacterium avidum bacteremia after intraarticular treatment for hip osteoarthritis.
abstract: Propionibacterium avidum is a Gram-positive, nonsporulating, facultative anaerobe that has a low level of virulence and is rarely pathogenic. This ubiquitous inhabitant of the sebaceous glands and hair follicles can cause acne vulgaris. Very rarely, P. avidum causes systemic infections after invasive procedures, most notably in immunocompromised patients. Two cases of sacroiliitis due to P. avidum have been reported. We report a case of P. avidum arthritis of the hip with severe sepsis that developed in a 78-year-old woman after intraarticular glucocorticoid treatment for hip osteoarthritis. We are unaware of previous reports of P. avidum hip arthritis.
authors.affiliation: Rheumatology Department, Groupe Hospitalier Paris Saint-Joseph, 185 rue Raymond Losserand, 75014 Paris, France.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Million
authors.forename: Fabienne
authors.initials: F
authors.lastname: Roux
authors.forename: Julien
authors.initials: J
authors.lastname: Cohen Solal
authors.forename: Philippe
authors.initials: P
authors.lastname: Bréville
authors.forename: Nicole
authors.initials: N
authors.lastname: Desplaces
authors.forename: Jean
authors.initials: J
authors.lastname: Barthas
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Nguyen Van
authors.forename: Gérald
authors.initials: G
authors.lastname: Rajzbaum
mesh_terms: D000368:Aged; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000382:microbiology*; D016470:Bacteremia / Q000209:etiology / Q000382:microbiology; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006615:Hip; D006801:Humans; D007270:Injections, Intra-Articular / Q000009:adverse effects; D015207:Osteoarthritis, Hip / Q000188:drug therapy*; D011424:Propionibacterium / Q000302:isolation & purification*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide