{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T06:16:14Z","timestamp":1771049774879,"version":"3.50.1"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,1,30]]},"abstract":"<jats:p>This report describes a 63-year-old generally healthy male with septic olecranon bursitis caused by<jats:italic>Propionibacterium acnes<\/jats:italic>. The patient sustained a small laceration after striking the posterior aspect of his left elbow on a metal railing when he was at a public swimming pool. We concluded that<jats:italic>P. acnes<\/jats:italic>was not initially detected because cultures were only kept for 5\u2009days. Consequently, initial antibiotic treatment failed.<jats:italic>P. acnes<\/jats:italic>and<jats:italic>Staphylococcus epidermidis<\/jats:italic>grew in a subsequent tissue culture. The infection did not respond to intravenous vancomycin although soft-tissue debridements were done. This likely reflected the presence of olecranon osteomyelitis (seen on MRI scans) in addition to inadequate treatment with this antibiotic in the setting of a polymicrobial infection. Eventually, the infection was eradicated with multiple soft-tissue debridements in addition to the continuation of vancomycin with daily intravenous piperacillin\/tazobactam that was added for the final 4\u2009weeks of antibiotic treatment.<\/jats:p>","DOI":"10.1136\/bcr-2017-223782","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T18:21:38Z","timestamp":1518546098000},"page":"bcr-2017-223782","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["<i>Propionibacterium acnes<\/i>and<i>Staphylococcus epidermidis<\/i>olecranon bursitis\/osteomyelitis: a case involving surgical and antibiotic treatment"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2352-980X","authenticated-orcid":false,"given":"John G","family":"Skedros","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micheal G","family":"Adondakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric M","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marquam R","family":"Oliver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,2,12]]},"reference":[{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jse.2015.08.032","article-title":"Olecranon bursitis","volume":"25","author":"Reilly","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-89-1-21"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.3","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01435-16"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.4","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.00463-13"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.micres.2007.03.004"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.10.007"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.medmal.2014.02.004"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.8","unstructured":"Bhatia A , Maisonneuve JF , Persing DH , et al . Propionibacterium acnes and chronic diseases. In: Knobler SL , O\u2019Connor S , Lemon SM , Najafi M , eds. The infectious etiology of chronic diseases: defining the relationship, enhancing the research, and mitigating the effects. Washington DC: The National Acadamies Press, 2004:74\u201380."},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.9","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.00568"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.10","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00170"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.anaerobe.2015.05.003"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.12","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02497-15"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0009358","article-title":"C-reactive protein, erythrocyte sedimentation rate and orthopedic implant infection","volume":"5","author":"Piper","year":"2010","journal-title":"PLoS One"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.14","unstructured":"Qureshi A , Ross J , Snelling A , et al . Survival of antibiotic-resistant Propionibacterium acnes in the environment. 14th European congress of clinical microbiology and infectious diseases, 2004. http:\/\/www.blackwellpublishing.com\/eccmid14\/clm_902_p2.pdf."},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.15","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.clindermatol.2014.04.010","article-title":"Segmental immune disorders resulting from neurologic injuries","volume":"32","author":"Piccolo","year":"2014","journal-title":"Clin Dermatol"},{"key":"2025042702511969000_2018.feb12_1.bcr-2017-223782.16","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.semarthrit.2014.10.011","article-title":"Sparing effect of hemiplegia on skin fibrosis and microvascular involvement: reports of two cases of systemic sclerosis and review of the literature","volume":"44","author":"Ughi","year":"2015","journal-title":"Semin Arthritis Rheum"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:51:32Z","timestamp":1745747492000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,12]]},"references-count":16,"alternative-id":["10.1136\/bcr-2017-223782"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223782","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,12]]}}}