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...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e38049
Main Authors: Rahman, Ali, Alqaisi, Sura, Nath, Jayant
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
Bacteria
Bacterial infections
Blood
Cardiology
Case reports
Diarrhea
Dietary supplements
Disease
Drug use
Endocarditis
Fever
Heart failure
Histology
Infectious Disease
Internal Medicine
Laboratories
Ostomy
Patients
Probiotics
Rheumatoid arthritis
Risk factors
Severe acute respiratory syndrome coronavirus 2
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Summary: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 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 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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.38049