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Prior case reports of <jats:italic>C. acnes<\/jats:italic> splenic abscess all involved parental inoculation via needle use. However, in the context of no percutaneous needle exposure and multiple tooth extractions immediately preceding her symptoms, the most likely source of her infection is oral flora with haematogenous or lymphatic spread to the spleen.<\/jats:p>","DOI":"10.1136\/bcr-2022-250486","type":"journal-article","created":{"date-parts":[[2023,1,25]],"date-time":"2023-01-25T09:37:19Z","timestamp":1674639439000},"page":"e250486","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Splenic abscess caused by <i>Cutibacterium acnes<\/i> in a patient with multiple tooth extractions"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1625-4844","authenticated-orcid":false,"given":"Madalyn","family":"Walsh","sequence":"first","affiliation":[{"name":"Internal Medicine, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Wasko","sequence":"additional","affiliation":[{"name":"Internal Medicine\u2014Neurology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9772-4299","authenticated-orcid":false,"given":"Andrew Joseph","family":"Simms","sequence":"additional","affiliation":[{"name":"Internal Medicine\u2014Infectious Diseases, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0096-366X","authenticated-orcid":false,"given":"Jacob","family":"Hodges","sequence":"additional","affiliation":[{"name":"Internal Medicine\u2014Infectious Diseases, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,1,25]]},"reference":[{"key":"2025082804222003000_16.1.e250486.1","doi-asserted-by":"crossref","unstructured":"Lee MC . 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