Propionibacterium Infections Follow-up

Updated: Oct 07, 2015
  • Author: Sajeev Handa, MBBCh, BAO, LRCSI, LRCPI; Chief Editor: Mark R Wallace, MD, FACP, FIDSA  more...
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Follow-up

Complications

The prognosis of acne vulgaris is usually favorable, and the only sequela is scarring, which can be minimized. In patients with scarring, cosmetic options include dermabrasion, excision, subcision, punch grafting, and laser resurfacing.

Complications for other infections are described in the Clinical section.

Isotretinoin is contraindicated in pregnancy. A pregnancy test should be performed prior to commencing treatment, and patients should be warned about the drug's teratogenic effects. Patients must sign written consent forms and be enrolled into the iPledge program. Female patients of childbearing potential must be on two forms of birth control.

Although Propionibacterium species are frequently nonpathogenic, the presence of Propionibacterium species in a sterile body fluid culture should never be automatically assumed as contamination until a thorough history and physical examination and assessment is completed.