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- Title
Carbapenem-resistant Lactobacillus intra-abdominal infection in a renal transplant recipient with a history of probiotic consumption.
- Authors
Vanichanan, Jakapat; Chávez, Violeta; Wanger, Audrey; Golovine, Aleksandra; Vigil, Karen
- Abstract
Background: Lactobacillus sp. is a low virulence bacterium, which rarely causes infection in immunocompetent individuals and usually is considered a contaminant. Normally this organism is susceptible to β-lactam antibiotics, yet resistant strains have been reported. Case presentation and discussion: Here, we report a case of a 60-year-old renal transplant recipient who developed an intra-abdominal abscess which grew a carbapenem-resistant Lactobacillus casei. This is significant since it is the first report of a clinical isolate of Lactobacillus sp. that demonstrated both microbiological and clinical resistance to carbapenem use. Moreover, the probiotic supplement that the patient had taken also grew a similar organism raising the concern of probiotic associated infection in immunocompromised individual.
- Subjects
BACTERIAL diseases; DRUG therapy; DIAGNOSIS of bacterial diseases; ABSCESSES; ABDOMEN; DRUG resistance in microorganisms; LACTOBACILLUS; MICROBIAL sensitivity tests; PROBIOTICS; CARBAPENEMS; DIAGNOSIS
- Publication
Infection, 2016, Vol 44, Issue 6, p793
- ISSN
0300-8126
- Publication type
Article
- DOI
10.1007/s15010-016-0903-1