A Double Whammy: Lactobacillus acidophilus Bacteremia and Subsequent Lactobacillus rhamnosus Prosthetic Valve Infective Endocarditis in an Elderly Diabetic Patient.
R I Med J (2013)
; 101(9): 32-35, 2018 Nov 01.
Article
in En
| MEDLINE
| ID: mdl-30384517
ABSTRACT
The clinical significance of the relatively avirulent organ- ism, Lactobacillus, has been debated in the past. At times misdiagnosed as a contaminant, Lactobacillus has uncommonly been reported to cause intra-abdominal abscesses, peritonitis, meningitis, bacteremia, pneumonia and endocarditis, especially in the population of patients with underlying comorbid conditions including malignancy, diabetes, recent surgery or organ transplantation. We report a case of a 74-year-old male with Lactobacillus bacteremia leading to prosthetic valve infective endocarditis complicated by an aortic root abscess. He was managed with IV antibiotic therapy, ultimately penicillin G, and aortic valve replacement, and completely recovered after a period of rehabilitation. Several factors that predispose to Lactobacillus bacteremia were identified in our patient. This case further supports the proposition that Lactobacillus is not always a contaminant; when pathogenic, underlying disease conditions should be investigated.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Heart Valve Prosthesis
/
Prosthesis-Related Infections
/
Bacteremia
/
Abscess
/
Endocarditis, Bacterial
/
Lacticaseibacillus rhamnosus
/
Lactobacillus acidophilus
Type of study:
Etiology_studies
/
Prognostic_studies
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
R I Med J (2013)
Year:
2018
Document type:
Article