{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:03:06Z","timestamp":1780394586812,"version":"3.54.1"},"reference-count":18,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nCervical vertebral osteomyelitis (CVO) is a rare pathology that leads to progressive osseous degradation and eventual loss of bone putting the patient at risk of devastating neurological injury in the event of bony collapse or instability. Cutibacterium acnes<\/jats:italic> formerly called Propionibacterium acnes<\/jats:italic> is rare, but within the last two decades has been an increasingly reported cause of osteomyelitis. The majority of C. acnes<\/jats:italic> vertebral osteomyelitis cases have been reported in patients with a history of prior invasive procedures where direct contamination at the time of procedure was suspected as the underlying etiology.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nWe report a unique case of an otherwise healthy 39-year-old male with no prior history of invasive procedures who presented with CVO secondary to C. acnes<\/jats:italic>. He underwent surgical debridement and fusion in conjunction with antibiotic treatment. The patient recovered well and a 2-year follow-up with serial imaging showed no evidence of disease recurrence.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nC. acnes<\/jats:italic> is an under-recognized and under-reported etiology of spine infections. Clinicians should be aware of the pathological potential and atypical presentation of C. acnes<\/jats:italic> vertebral osteomyelitis.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_542_2023","type":"journal-article","created":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T05:58:32Z","timestamp":1696571912000},"page":"358","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Isolated cervical Cutibacterium acnes<\/i> osteomyelitis in a patient with no primary source of infection \u2013 A case report and review of the literature"],"prefix":"10.25259","volume":"14","author":[{"given":"Emmanuel","family":"Omosor","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Loma Linda University, Loma Linda, California, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Milosavljevic","sequence":"additional","affiliation":[{"name":"Department of Radiology, Loma Linda University Medical Center, Loma Linda, California, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Loma Linda University, Loma Linda, California, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angel","family":"Lopez-Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Loma Linda University School of Medicine, Loma Linda, California, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,10,6]]},"reference":[{"key":"10.25259\/SNI_542_2023\/ref-1","doi-asserted-by":"crossref","first-page":"E2","DOI":"10.3171\/foc.2004.17.6.2","article-title":"Diagnosis and management of adult pyogenic osteomyelitis of the cervical 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