@article {Ozolinae242420, author = {Elina Ozolina and Kaspars Auslands and Maris Buks and Martins Ansons}, title = {Propionibacterium acnes causing non-contiguous, multifocal spondylodiscitis in an immunosuppressed patient}, volume = {14}, number = {9}, elocation-id = {e242420}, year = {2021}, doi = {10.1136/bcr-2021-242420}, publisher = {BMJ Specialist Journals}, abstract = {This report describes a case of a spondylodiscitis in an immunocompromised patient with an HIV infection caused by Propionibacterium acnes. The patient was admitted to hospital with a sudden loss of motor function and sensation in both of the patient{\textquoteright}s legs. A biopsy taken during the first debridement operation proved to be negative for Mycobacterium tuberculosis DNA and growth, but was positive for the growth of P. acnes. Following a course of antibiotic therapy and the aforementioned debridement, the patient was moved to a specialised clinic for physical therapy. The patient{\textquoteright}s condition quickly deteriorated, and the patient once again required extensive debridement. Repeated spinal surgery, antibiotics for 12 weeks and subsequent rehabilitation resulted in almost complete recovery of sensorimotor limb function.}, URL = {https://casereports.bmj.com/content/14/9/e242420}, eprint = {https://casereports.bmj.com/content/14/9/e242420.full.pdf}, journal = {BMJ Case Reports CP} }