一名下颌角弓反张症患儿因使用益生菌引起的副溶血性乳酸杆菌菌血症:病例报告与文献综述。

Kohei Ukai,Koh Okamoto,Akinori Ichinose,Mariko Yoshida,Yoshimi Higurashi,Ryu Yoneda,Shuta Yamamoto,Takashi Asahara
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引用次数: 0

摘要

一般认为益生菌是安全的,可用于改善肠道功能。在此,我们报告了一例副酸乳杆菌菌血症病例,患者是一名 8 个月大的女童,因肠道功能减退而接受空肠造瘘术,术后服用了含有副酸乳杆菌的益生菌。患者持续出现副卡西氏杆菌菌血症,并接受了抗菌治疗。从血液培养中分离出的菌株与益生菌中的菌株在基因上没有区别。对于免疫系统或肠道完整性受到潜在损害的患者,在使用益生菌前应考虑菌血症风险。
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Lacticaseibacillus paracasei Bacteremia Associated With Probiotic Use in a Child With Hypoganglionosis: Case Report and Literature Review.
Probiotics are generally considered safe and used to improve intestinal function. Here, we report a Lacticaseibacillus paracasei bacteremia case in an 8-month-old girl administered probiotics containing L. paracasei after jejunostomy for hypoganglionosis. The patient had persistent bacteremia with L. paracasei and was treated with antimicrobial therapy. The isolate from the blood culture was genetically indistinguishable to the strain contained in probiotics. Bacteremia risk should be considered before probiotic use in patients with underlying compromised immune systems or intestinal integrity.
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