Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections

Lactobacilli are normal commensals of the gastrointestinal and female genital tract. Due to its low virulence these bacteria are known to cause opportunistic infections. They cause mostly bacteraemia with or without endocarditis and rarely cause pleuro-pulmonary infection. We report a case of Lact...

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Main Authors: Priya Datta, Varsha Gupta, Gursimran Kaur Mohi, Jagdish Chander, Ashok Kumar Janmeja
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9391/22837_CE(Ra1)_F(Sh)_PF1(PI_RK)_PFA(AK)_PF2(P_RK)_PF3(AG_OM).pdf
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author Priya Datta
Varsha Gupta
Gursimran Kaur Mohi
Jagdish Chander
Ashok Kumar Janmeja
author_facet Priya Datta
Varsha Gupta
Gursimran Kaur Mohi
Jagdish Chander
Ashok Kumar Janmeja
author_sort Priya Datta
collection DOAJ
description Lactobacilli are normal commensals of the gastrointestinal and female genital tract. Due to its low virulence these bacteria are known to cause opportunistic infections. They cause mostly bacteraemia with or without endocarditis and rarely cause pleuro-pulmonary infection. We report a case of Lactobacillus coryniformis pleuro-pulmonary infection and review 14 previously reported cases of lactobacilli causing pleuro-pulmonary infections. Our patient had small cell carcinoma with metastasis. All the 14 cases had pre-existing risk factors like immunosuppresion, cancer or chronic disease. There was no consensus on choice of antimicrobial agents to be used. Different species of lactobacilli were involved. Available susceptibility data showed that lactobacilli species were more susceptible to ampicillin, erythromycin, gentamycin, and clindamycin and decreased to ceftriaxone, ciprofloxacin and trimethoprim–sulphamethoxazole. Isolation of Lactobacillus species from a case of pleuro-pneumonia infection could be a marker of poor long-term prognosis. The diagnosis of these infections requires both microbiologist and clinical correlation to rule out contamination.
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spelling doaj.art-a4069ec1f7364930b610ae72306e4c482022-12-21T23:46:28ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-02-01112DE01DE0510.7860/JCDR/2017/22837.9391Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary InfectionsPriya Datta0Varsha Gupta1Gursimran Kaur Mohi2Jagdish Chander3Ashok Kumar Janmeja4Assistant Professor, Department of Microbiology, Government Medical College and Hospital, Chandigarh, India.Professor, Department of Microbiology, Government Medical College and Hospital, Chandigarh, India.Senior Resident, Department of Microbiology, Government Medical College and Hospital, Chandigarh, India.Professor and Head, Department of Microbiology, Government Medical College and Hospital, Chandigarh, India.Professor and Head, Department of Pulmonary Medicine, Government Medical College and Hospital, Chandigarh, India.Lactobacilli are normal commensals of the gastrointestinal and female genital tract. Due to its low virulence these bacteria are known to cause opportunistic infections. They cause mostly bacteraemia with or without endocarditis and rarely cause pleuro-pulmonary infection. We report a case of Lactobacillus coryniformis pleuro-pulmonary infection and review 14 previously reported cases of lactobacilli causing pleuro-pulmonary infections. Our patient had small cell carcinoma with metastasis. All the 14 cases had pre-existing risk factors like immunosuppresion, cancer or chronic disease. There was no consensus on choice of antimicrobial agents to be used. Different species of lactobacilli were involved. Available susceptibility data showed that lactobacilli species were more susceptible to ampicillin, erythromycin, gentamycin, and clindamycin and decreased to ceftriaxone, ciprofloxacin and trimethoprim–sulphamethoxazole. Isolation of Lactobacillus species from a case of pleuro-pneumonia infection could be a marker of poor long-term prognosis. The diagnosis of these infections requires both microbiologist and clinical correlation to rule out contamination.https://jcdr.net/articles/PDF/9391/22837_CE(Ra1)_F(Sh)_PF1(PI_RK)_PFA(AK)_PF2(P_RK)_PF3(AG_OM).pdfampicillinbacteraemiacommensalsimmunosuppression
spellingShingle Priya Datta
Varsha Gupta
Gursimran Kaur Mohi
Jagdish Chander
Ashok Kumar Janmeja
Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections
Journal of Clinical and Diagnostic Research
ampicillin
bacteraemia
commensals
immunosuppression
title Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections
title_full Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections
title_fullStr Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections
title_full_unstemmed Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections
title_short Lactobacillus coryniformis Causing Pulmonary Infection in a Patient with Metastatic Small Cell Carcinoma: Case Report and Review of Literature on Lactobacillus Pleuro-Pulmonary Infections
title_sort lactobacillus coryniformis causing pulmonary infection in a patient with metastatic small cell carcinoma case report and review of literature on lactobacillus pleuro pulmonary infections
topic ampicillin
bacteraemia
commensals
immunosuppression
url https://jcdr.net/articles/PDF/9391/22837_CE(Ra1)_F(Sh)_PF1(PI_RK)_PFA(AK)_PF2(P_RK)_PF3(AG_OM).pdf
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