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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Propionibacterium Acnes Infection of a Metacarpophalangeal Joint Arthroplasty.
    Author: Bacle G, Sikora SK, Ek ETH.
    Journal: J Hand Surg Am; 2017 May; 42(5):394.e1-394.e6. PubMed ID: 28259563.
    Abstract:
    Neglected and underestimated in the past, Propionibacterium acnes is currently the most prevalent organism associated with deep prosthetic infections around the shoulder. Surprisingly, it has never been reported as a cause of infection in the hand. Here we report a case of a late presentation of a P. acnes infection in a metacarpophalangeal joint replacement, resulting in chronic low-grade pain with movement. The patient underwent a 2-stage revision, with initial removal of the prosthesis. Positive cultures for P. acnes required 15 days of extended incubation. The patient subsequently had 6 weeks of oral antibiotics followed by a second-stage revision with a Silastic implant.
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