Diagnostic difficulties of Lactobacillus casei bacteraemia in immunocompetent patients: A case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-09-30

AUTHORS

Chiara Tommasi, Francesco Equitani, Marcello Masala, Milva Ballardini, Marco Favaro, Marcello Meledandri, Carla Fontana, Pasquale Narciso, Emanuele Nicastri

ABSTRACT

INTRODUCTION: Lactobacilli are currently proposed as probiotic agents in several dietary products. In blood cultures, they are usually considered as contaminants, but in recent years they have been recognized as causal infectious agents of endocarditis, urinary tract infections, meningitis, intra-abdominal infections and bacteraemia. CASE PRESENTATION: We report a case of Lactobacillus casei bacteraemia in a 66-year-old immunocompetent man with a history of fever of unknown origin. Leuconostoc bacteraemia was demonstrated by blood culture, but a later polymerase chain reaction analysis with sequencing of 16S ribosomal RNA identified Lactobacillus casei and a successful antibiotic therapy was performed. CONCLUSION: Bacteraemia caused by probiotic organisms is rare but underestimated, since they are normally regarded as contaminants and their role as primary invaders is not always easily established. Although the consumption of probiotic products cannot be considered a risk factor in the development of diseases caused by usually non-pathogenic bacteria, specific individual clinical histories should be taken into account. This report should alert both clinicians and microbiologists to the possibility of unusual pathogens causing serious illnesses and to the use of 16S ribosomal RNA sequencing for molecular identification as a powerful tool in confirming the diagnosis of infrequent pathogens. More... »

PAGES

315-315

References to SciGraph publications

  • 1998-12. Lactobacillus Species as Opportunistic Pathogens in Immunocompromised Patients in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
  • 1997-09. Lactobacillus species as emerging pathogens in neutropenic patients in EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/1752-1947-2-315

    DOI

    http://dx.doi.org/10.1186/1752-1947-2-315

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1024362921

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/18826603


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