Cited by 156Probiotics and Fermented FoodsInflammatory Bowel DiseaseGut microbiota and health

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Lactobacillus Bacteremia Associated With Probiotic Use in a Pediatric Patient With Ulcerative Colitis

Vahabnezhad, Elaheh, Mochon, Albert Brian, Wozniak, Laura Joyce, Ziring, David Alexander·2013·Journal of Clinical Gastroenterology

DOI 10.1097/mcg.0b013e318279abf0

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Abstract

Probiotic strains of Lactobacillus are currently used in a variety of clinical practices with limited evidence to support their use. Lactobacillus species are a normal part of gastrointestinal flora, and bacteremia with probiotic strains of Lactobacillus is very uncommon. We describe a case of Lactobacillus bacteremia in a 17-year-old boy with ulcerative colitis managed with systemic corticosteroids and infliximab, who presented with fever to 102°F, flushing, and chills 1 week after starting Lactobacillus rhamnosus GG probiotics. Initial blood culture on day 2 of his fever was positive for Lactobacillus, however, subsequent blood cultures on day 3 and 5 were negative. He was treated empirically with antibiotics for 5 days and defervesced by day 8 of his illness. 16 S rRNA sequence analysis identified the organism from the patient's blood culture and probiotic capsule as L. rhamnosus with a 99.78% match for both the strains. This case report highlights the potential risk of Lactobacillus bacteremia in immunosuppressed patients with severe active ulcerative colitis.

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Authors: Vahabnezhad, E., Mochon, A. B., Wozniak, L. J., & Ziring, D. A.
Affiliations: University of California, Los Angeles (US)
Corresponding author: Vahabnezhad, Elaheh
Wozniak, Laura Joyce
Ziring, David Alexander
ORCID: Mochon, Albert Brian
Wozniak, Laura Joyce
Ziring, David Alexander
Venue: Journal of Clinical Gastroenterology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2013-05
Volume: 47
Issue: 5
Pages: 437-439
ISSN: 0192-0790 (ISSN-L)
DOI: 10.1097/mcg.0b013e318279abf0
OpenAlex: W2005788065
Cited by: 156
References: 22
Citations by year: 2026: 5 · 2025: 13 · 2024: 14 · 2023: 13 · 2022: 13 · 2021: 17 · 2020: 15 · 2019: 8 · 2018: 13 · 2017: 12 · 2016: 10 · 2015: 7 · 2014: 7 · 2013: 9
FWCI: 16.40
Type: journal article
Language: en
Open access: closed
Locations: Journal of Clinical Gastroenterology (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Keywords: Lactobacillus rhamnosus GG, probiotics, ulcerative colitis, pediatric patients, immunosuppression, infliximab, corticosteroids, 16S rRNA gene sequencing, blood culture contamination, antibiotic therapy
MeSH terms: Anti-Bacterial Agents, Colitis, Ulcerative, Humans, Male, Risk Factors, RNA, Ribosomal, 16S, Bacteremia, Immunocompromised Host, Gram-Positive Bacterial Infections, Sequence Analysis, DNA, Probiotics, Lacticaseibacillus rhamnosus

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Lactobacillus Bacteremia Associated With Probiotic Use in a Pediatric Patient With Ulcerative Colitis

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