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Cutibacterium acnes infects and obstructs cerebral shunts by the production of biofilm; however, diagnosis is usually missed by routine aerobic cultures. Obtaining anaerobic cultures routinely in patients with foreign body implants leading to central nervous system infections could prevent a missed diagnosis of this pathogen. Penicillin G is the first-line treatment.<\/jats:p>","DOI":"10.1177\/23247096231159810","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T07:03:42Z","timestamp":1678518222000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Case of Coccidioidal Meningitis With Biofilm Obstructing VP Shunt Due to\n                    <i>Cutibacterium acnes<\/i>"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3457-4371","authenticated-orcid":false,"given":"Rupam","family":"Sharma","sequence":"first","affiliation":[{"name":"Kern Medical, Bakersfield, CA, USA"},{"name":"University of California, Los Angeles, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Royce H.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Kern Medical, Bakersfield, CA, USA"},{"name":"University of California, Los Angeles, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard R.","family":"David","sequence":"additional","affiliation":[{"name":"Kaiser Permanente, Bakersfield, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majid","family":"Rahimifar","sequence":"additional","affiliation":[{"name":"Bakersfield Memorial Hospital, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1091-348X","authenticated-orcid":false,"given":"Arash","family":"Heidari","sequence":"additional","affiliation":[{"name":"Kern Medical, Bakersfield, CA, USA"},{"name":"University of California, Los Angeles, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,11]]},"reference":[{"key":"bibr1-23247096231159810","doi-asserted-by":"publisher","DOI":"10.1080\/14787210.2017.1404452"},{"key":"bibr2-23247096231159810","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw360"},{"key":"bibr3-23247096231159810","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneuroim.2014.08.006"},{"key":"bibr4-23247096231159810","unstructured":"Wang KW, Chang WN, Shih TY, et al. 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