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A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery

INTRODUCTION: and importance: Propionibacterium acnes (P. acnes) is an anaerobic, lipophilic, Gram-positive bacteria of the commensal skin flora. It may also be present on the mouth's mucosa, nose, urogenital tract, and large bowel. P. acnes is an unusual and rare agent of intracerebral abscess...

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Autores principales: Borni, Mehdi, Abdelmouleh, Souhir, Mechergui, Haifa, Elouni, Emna, Boudawara, Mohamed Zaher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486719/
https://www.ncbi.nlm.nih.gov/pubmed/36147167
http://dx.doi.org/10.1016/j.amsu.2022.104451
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author Borni, Mehdi
Abdelmouleh, Souhir
Mechergui, Haifa
Elouni, Emna
Boudawara, Mohamed Zaher
author_facet Borni, Mehdi
Abdelmouleh, Souhir
Mechergui, Haifa
Elouni, Emna
Boudawara, Mohamed Zaher
author_sort Borni, Mehdi
collection PubMed
description INTRODUCTION: and importance: Propionibacterium acnes (P. acnes) is an anaerobic, lipophilic, Gram-positive bacteria of the commensal skin flora. It may also be present on the mouth's mucosa, nose, urogenital tract, and large bowel. P. acnes is an unusual and rare agent of intracerebral abscess although in recent years some publications suggest that its frequency in brain surgery is increasing. CASE PRESENTATION: The authors report a case of an incidental cerebral abscess during follow-up imaging in a 63-year-old male patient operated on twice for cerebral meningioma the last of which was 3 months ago without placement of any surgical implant with uneventful postoperative course. CLINICAL DISCUSSION: P. acnes is still an sunder-appreciated cause of post-neurosurgical infection. Time between neurosurgery and infection is variable ranging from few months to many years. Its culture time is long, with currently an average time to positivity of six days (2–15 days), justifying prolonged cultures. CONCLUSION: Intracranial infections by P. acnes are not quite frequent. We emphasize the need to send samples for culture of anaerobes in this type of complications before giving a negative result.
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spelling pubmed-94867192022-09-21 A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery Borni, Mehdi Abdelmouleh, Souhir Mechergui, Haifa Elouni, Emna Boudawara, Mohamed Zaher Ann Med Surg (Lond) Case Report INTRODUCTION: and importance: Propionibacterium acnes (P. acnes) is an anaerobic, lipophilic, Gram-positive bacteria of the commensal skin flora. It may also be present on the mouth's mucosa, nose, urogenital tract, and large bowel. P. acnes is an unusual and rare agent of intracerebral abscess although in recent years some publications suggest that its frequency in brain surgery is increasing. CASE PRESENTATION: The authors report a case of an incidental cerebral abscess during follow-up imaging in a 63-year-old male patient operated on twice for cerebral meningioma the last of which was 3 months ago without placement of any surgical implant with uneventful postoperative course. CLINICAL DISCUSSION: P. acnes is still an sunder-appreciated cause of post-neurosurgical infection. Time between neurosurgery and infection is variable ranging from few months to many years. Its culture time is long, with currently an average time to positivity of six days (2–15 days), justifying prolonged cultures. CONCLUSION: Intracranial infections by P. acnes are not quite frequent. We emphasize the need to send samples for culture of anaerobes in this type of complications before giving a negative result. Elsevier 2022-08-19 /pmc/articles/PMC9486719/ /pubmed/36147167 http://dx.doi.org/10.1016/j.amsu.2022.104451 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Borni, Mehdi
Abdelmouleh, Souhir
Mechergui, Haifa
Elouni, Emna
Boudawara, Mohamed Zaher
A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery
title A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery
title_full A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery
title_fullStr A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery
title_full_unstemmed A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery
title_short A postoperative brain abscess due to Propionibacterium acnes in an immunocompetent adult with incidental discovery
title_sort postoperative brain abscess due to propionibacterium acnes in an immunocompetent adult with incidental discovery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486719/
https://www.ncbi.nlm.nih.gov/pubmed/36147167
http://dx.doi.org/10.1016/j.amsu.2022.104451
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