title: Propionibacterium acnes infections in shoulder surgery.
abstract: Perioperative shoulder infections involving Propionibacterium acnes can be difficult to identify in a patient who presents with little more than pain and stiffness in the postoperative period. Although indolent in its growth and presentation, infection of the shoulder with P acnes can have devastating effects, including failure of the surgical intervention. This article reviews the importance of a comprehensive physical, radiologic, and laboratory evaluation, and discusses appropriate preventive and treatment strategies for P acnes infections of the shoulder.
authors.affiliation: Department of Orthopedic Surgery, Hospital of University of Pennsylvania, 2 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: John G
authors.initials: JG
authors.lastname: Horneff
authors.affiliation: Department of Orthopedic Surgery, Hospital of University of Pennsylvania, 2 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors.forename: Jason E
authors.initials: JE
authors.lastname: Hsu
authors.affiliation: Department of Orthopedic Surgery, Hospital of University of Pennsylvania, 2 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: Russell.huffman@uphs.upenn.edu.
authors.forename: G Russell
authors.initials: GR
authors.lastname: Huffman
mesh_terms: D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000628:therapy*; D011425:Propionibacterium acnes; D012782:Shoulder / Q000601:surgery*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000628:therapy*
keywords: Infection; Propionibacterium acnes; Revision surgery; Shoulder joint