Liver abscess and bacteremia caused by lactobacillus: Role of probiotics? Case report and review of the literature

Muhammed Sherid, Salih Samo, Samian Sulaiman, Husein Husein, Humberto Sifuentes, Subbaramiah Sridhar

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Background: Lactobacilli are non-spore forming, lactic acid producing, gram-positive rods. They are a part of the normal gastrointestinal and genitourinary microbiota and have rarely been reported to be the cause of infections. Lactobacilli species are considered non-pathogenic organisms and have been used as probiotics to prevent antibiotic associated diarrhea. There are sporadic reported cases of infections related to lactobacilli containing probiotics. Case presentation: In this paper we discuss a case of an 82 year old female with liver abscess and bacteremia from lactobacillus after using probiotics containing lactobacilli in the course of her treatment of Clostridium difficile colitis. The Lactobacillus strain identification was not performed and therefore, both commensal microbiota and the probiotic product should be considered as possible sources of the strain. Conclusion: Lactobacilli can lead to bacteremia and liver abscesses in some susceptible persons and greater awareness of this potential side effect is warranted with the increasing use of probiotics containing lactobacilli.

Original languageEnglish (US)
Article number138
JournalBMC Gastroenterology
Volume16
Issue number1
DOIs
StatePublished - Nov 18 2016

Keywords

  • Cholecystectomy
  • Lactobacillus
  • Liver abscess
  • Probiotics

ASJC Scopus subject areas

  • Gastroenterology

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