title: Granulomatous Propionibacterium acnes infection after trauma surgery.
abstract: We report here a rare case of infection caused by Propionibacterium acnes following trauma surgery: a 36-year-old male, accident victim was admitted to the hospital because of polytrauma. He underwent a long-drawn-out surgical intervention and after a free-muscle transfer using the rectus femoris muscle, signs of inflammation were detected in the affected area. Microbiological examination of the wound revealed the presence of P. acnes as the only etiological agent of this infection. Adequate antibiotic treatment with penicillin had been started right after the positive microbiological result. Our data confirm the pathogenic potential of P. acnes in late post-surgical infections, and suggest a proper therapeutic approach with intravenous antibiotics and surgical removal of the infected tissue.
authors.affiliation: Department of Traumatology, Faculty of Medicine, University of Szeged, Hungary.
authors.forename: Sándor
authors.initials: S
authors.lastname: Körmöndi
authors.forename: Gabriella
authors.initials: G
authors.lastname: Terhes
authors.forename: Sándor
authors.initials: S
authors.lastname: Pintér
authors.forename: Edit
authors.initials: E
authors.lastname: Urbán
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D011425:Propionibacterium acnes / Q000187:drug effects / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014947:Wounds and Injuries / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins