Case of aortic endocarditis caused by Lactobacillus casei
Abstract
A case of Lactobacillus aortic valve endocarditis in a 53-year-old immunocompetent patient with past history of rheumatic fever is reported. Clinical symptoms began after a dental extraction and the patient's diet included several yogurts per day. Blood, bone marrow cultures and the replaced aortic valve were positive for Lactobacillus: The clinical isolate was identified as Lactobacillus casei by 16S rDNA sequencing.
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Adverse events from probiotic strains in vulnerable populations include life-threatening pneumonia, endocarditis, and sepsis.
“AEs include life-threatening pneumonia,106 endocarditis,107–111 and sepsis.112–115”
From Emerging issues in probiotic safety: 2023 perspectives (2023) · cites this paper as [108]
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- Authors
- Ze-Ze, L.
- Venue
- Journal of Medical Microbiology
- Publisher
- Microbiology Society
- Published
- 2004-05-01
- Volume
- 53
- Issue
- 5
- Pages
- 451-453
- ISSN
- 0022-2615 (ISSN-L)
- 1473-5644
- OpenAlex
- W2120674683
- Cited by
- 36
- References
- 20
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 3 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 3 · 2012: 1
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Medical Microbiology (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Health Sciences › Medicine › Surgery › Infectious Aortic and Vascular Conditions
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
- Keywords
- Lactobacillus casei, infective endocarditis, aortic valve endocarditis, tooth extraction, yogurt consumption, 16S rRNA identification, immunocompetent patient
- MeSH terms
- Aortic Valve, DNA, Ribosomal, Endocarditis, Bacterial, Humans, Lacticaseibacillus casei, Male, Middle Aged, Molecular Sequence Data, RNA, Ribosomal, 16S, Gram-Positive Bacterial Infections, Sequence Analysis, DNA
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