Lactobacillus gasseri liver abscess and bacteremia: a case report
Abstract Background Lactobacillus is a genus of Gram-positive non-spore-forming rods usually found in the microbiota of the oral cavity, gastrointestinal tract, and female genitourinary tract. Also, they are commonly used in the food industry as supplements and probiotics. Lactobacilli are normally...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-021-06181-w |
| _version_ | 1819149963448287232 |
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| author | David Ramos-Coria Jorge Canto-Losa Daniel Carrillo-Vázquez Leonardo Carbajal-Morelos Rodrigo Estrada-León Eduardo Corona-Rodarte |
| author_facet | David Ramos-Coria Jorge Canto-Losa Daniel Carrillo-Vázquez Leonardo Carbajal-Morelos Rodrigo Estrada-León Eduardo Corona-Rodarte |
| author_sort | David Ramos-Coria |
| collection | DOAJ |
| description | Abstract Background Lactobacillus is a genus of Gram-positive non-spore-forming rods usually found in the microbiota of the oral cavity, gastrointestinal tract, and female genitourinary tract. Also, they are commonly used in the food industry as supplements and probiotics. Lactobacilli are normally considered non-pathogenic to the human body, however, under certain circumstances such as immunosuppression, they can cause severe infections, with only a few cases of bacteremia, infective endocarditis, pneumonia, meningitis, and intra-abdominal infections reported. Among these presentations, a pyogenic liver abscess is rather rare. Case presentation We describe the case of a 59-year-old man with a history of diabetes mellitus and multiple abdominal surgeries with the latest being in 2014 presenting with bacteremia and multiple large pyogenic liver abscesses due to Lactobacillus gasseri, which did not appear to be related to the use of probiotics or immunosuppression. Conclusions Given the high prevalence of diabetes mellitus and the increased use of probiotics, it is expected that in the future we will see an increase in infections caused by Lactobacilli. Medical management with antibiotics and percutaneous drainage were successful strategies for the treatment of this unusual case of pyogenic liver abscesses and bacteremia caused by Lactobacillus gasseri. |
| first_indexed | 2024-12-22T14:09:57Z |
| format | Article |
| id | doaj.art-f36c61381450459d9c7e7b3f0501c0a4 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-22T14:09:57Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-f36c61381450459d9c7e7b3f0501c0a42022-12-21T18:23:13ZengBMCBMC Infectious Diseases1471-23342021-06-012111610.1186/s12879-021-06181-wLactobacillus gasseri liver abscess and bacteremia: a case reportDavid Ramos-Coria0Jorge Canto-Losa1Daniel Carrillo-Vázquez2Leonardo Carbajal-Morelos3Rodrigo Estrada-León4Eduardo Corona-Rodarte5Department of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránAbstract Background Lactobacillus is a genus of Gram-positive non-spore-forming rods usually found in the microbiota of the oral cavity, gastrointestinal tract, and female genitourinary tract. Also, they are commonly used in the food industry as supplements and probiotics. Lactobacilli are normally considered non-pathogenic to the human body, however, under certain circumstances such as immunosuppression, they can cause severe infections, with only a few cases of bacteremia, infective endocarditis, pneumonia, meningitis, and intra-abdominal infections reported. Among these presentations, a pyogenic liver abscess is rather rare. Case presentation We describe the case of a 59-year-old man with a history of diabetes mellitus and multiple abdominal surgeries with the latest being in 2014 presenting with bacteremia and multiple large pyogenic liver abscesses due to Lactobacillus gasseri, which did not appear to be related to the use of probiotics or immunosuppression. Conclusions Given the high prevalence of diabetes mellitus and the increased use of probiotics, it is expected that in the future we will see an increase in infections caused by Lactobacilli. Medical management with antibiotics and percutaneous drainage were successful strategies for the treatment of this unusual case of pyogenic liver abscesses and bacteremia caused by Lactobacillus gasseri.https://doi.org/10.1186/s12879-021-06181-wBacteremiaAbscessLactobacillusPancreaticojejunostomyDiabetes |
| spellingShingle | David Ramos-Coria Jorge Canto-Losa Daniel Carrillo-Vázquez Leonardo Carbajal-Morelos Rodrigo Estrada-León Eduardo Corona-Rodarte Lactobacillus gasseri liver abscess and bacteremia: a case report BMC Infectious Diseases Bacteremia Abscess Lactobacillus Pancreaticojejunostomy Diabetes |
| title | Lactobacillus gasseri liver abscess and bacteremia: a case report |
| title_full | Lactobacillus gasseri liver abscess and bacteremia: a case report |
| title_fullStr | Lactobacillus gasseri liver abscess and bacteremia: a case report |
| title_full_unstemmed | Lactobacillus gasseri liver abscess and bacteremia: a case report |
| title_short | Lactobacillus gasseri liver abscess and bacteremia: a case report |
| title_sort | lactobacillus gasseri liver abscess and bacteremia a case report |
| topic | Bacteremia Abscess Lactobacillus Pancreaticojejunostomy Diabetes |
| url | https://doi.org/10.1186/s12879-021-06181-w |
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