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A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient
Probiotics are microorganisms, typically bacteria, similar to beneficial microbiota found in the human gut, usually consumed as dietary supplements or fermented foods. Although probiotics are generally safe, several cases of bacteremia, sepsis, and endocarditis associated with probiotics have been r...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10207843/ https://www.ncbi.nlm.nih.gov/pubmed/37228522 http://dx.doi.org/10.7759/cureus.38049 |
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author | Rahman, Ali Alqaisi, Sura Nath, Jayant |
author_facet | Rahman, Ali Alqaisi, Sura Nath, Jayant |
author_sort | Rahman, Ali |
collection | PubMed |
description | Probiotics are microorganisms, typically bacteria, similar to beneficial microbiota found in the human gut, usually consumed as dietary supplements or fermented foods. Although probiotics are generally safe, several cases of bacteremia, sepsis, and endocarditis associated with probiotics have been reported. Here we report a rare case of Lactobacillus casei endocarditis in a 71-year-old female, immunocompromised due to chronic steroid intake, who presented with a productive cough and low-grade fever. Blood cultures grew L. casei resistant to vancomycin and meropenem. Transesophageal echocardiography showed mitral and aortic vegetations; valve replacement was done after successfully removing vegetations. She was treated with a six-week course of daptomycin and recovered. |
format | Online Article Text |
id | pubmed-10207843 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102078432023-05-24 A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient Rahman, Ali Alqaisi, Sura Nath, Jayant Cureus Cardiology Probiotics are microorganisms, typically bacteria, similar to beneficial microbiota found in the human gut, usually consumed as dietary supplements or fermented foods. Although probiotics are generally safe, several cases of bacteremia, sepsis, and endocarditis associated with probiotics have been reported. Here we report a rare case of Lactobacillus casei endocarditis in a 71-year-old female, immunocompromised due to chronic steroid intake, who presented with a productive cough and low-grade fever. Blood cultures grew L. casei resistant to vancomycin and meropenem. Transesophageal echocardiography showed mitral and aortic vegetations; valve replacement was done after successfully removing vegetations. She was treated with a six-week course of daptomycin and recovered. Cureus 2023-04-24 /pmc/articles/PMC10207843/ /pubmed/37228522 http://dx.doi.org/10.7759/cureus.38049 Text en Copyright © 2023, Rahman et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Rahman, Ali Alqaisi, Sura Nath, Jayant A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient |
title | A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient |
title_full | A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient |
title_fullStr | A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient |
title_full_unstemmed | A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient |
title_short | A Case of Lactobacillus casei Endocarditis Associated With Probiotic Intake in an Immunocompromised Patient |
title_sort | case of lactobacillus casei endocarditis associated with probiotic intake in an immunocompromised patient |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10207843/ https://www.ncbi.nlm.nih.gov/pubmed/37228522 http://dx.doi.org/10.7759/cureus.38049 |
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