naa a22 4500 510818005 CHVBK 20180411083517.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12306-012-0183-6 doi (NATIONALLICENCE)springer-10.1007/s12306-012-0183-6 Propionibacterium acnes delayed infection following spinal surgery with instrumentation [Elektronische Daten] [Hani Mhaidli, Asdghig Der-Boghossian, Rachid Haidar] Propionibacterium acnes detection in culture media was previously considered a contamination but recently its infectious role was discovered in post-spinal surgery infections. P. acnes might be introduced during surgery. Its diagnosis is based on non-specific clinical signs, image indications of infection, and the conclusive microbiological sign. Furthermore, its diagnosis is difficult because of slow growth rate and low virulence, delaying its presentation. Usually, the infection is manifested after a couple of months or years. Here, a 65-year-old man presented with drainage at the site of instrumented spinal surgery performed 13years ago. P. acnes infection was confirmed by culture with extended incubation. Our review of the literature revealed only two other reported cases of delayed P. acnes infection presenting a decade following a spinal surgery with instrumentation. This article sheds light on such delayed infections and discusses their presentation and management. Springer-Verlag, 2012 Propionibacterium acnes nationallicence Spinal surgery nationallicence Instrumented spine nationallicence Delayed infection nationallicence Mhaidli Hani Department of Surgery, Hospital Universitario de Gran Canaria, Las Palmas, Spain aut Der-Boghossian Asdghig Division of Orthopedic Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El Solh, P.O. Box 11-0236, 1107 2020, Beirut, Lebanon aut Haidar Rachid Division of Orthopedic Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El Solh, P.O. Box 11-0236, 1107 2020, Beirut, Lebanon aut MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 85-87 2035-5106 97:1<85 2013 97 12306 https://doi.org/10.1007/s12306-012-0183-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-012-0183-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mhaidli Hani Department of Surgery, Hospital Universitario de Gran Canaria, Las Palmas, Spain aut NATIONALLICENCE 700 1- Der-Boghossian Asdghig Division of Orthopedic Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El Solh, P.O. Box 11-0236, 1107 2020, Beirut, Lebanon aut NATIONALLICENCE 700 1- Haidar Rachid Division of Orthopedic Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El Solh, P.O. Box 11-0236, 1107 2020, Beirut, Lebanon aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/1(2013-04-01), 85-87 2035-5106 97:1<85 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer