オクヤマ　ミチヒロ   Michihiro Okuyama   奥山　倫弘    所属   川崎医科大学  医学部 臨床医学　心臓血管外科学    職種   講師
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Lacticaseibacillus rhamnosus Infective Endocarditis Complicated by Multifocal Mycotic Aneurysms in an Immunocompetent Patient: A Case Report.
掲載誌名	正式名：Cureus 略　 称：Cureus ISSNコード：21688184/21688184
掲載区分	国外
巻・号・頁	16(8),pp.e68056
著者・共著者	Taichi Ito, Michihiro Okuyama, Yu Takahashi, Kiyofumi Ohkusu, Kyoko Yokota
担当区分	2nd著者
発行年月	2024/08
概要	Lactobacillaceae are generally considered low-pathogenicity organisms but can occasionally cause severe infections. We report a severe case of infective endocarditis caused by Lacticaseibacillus rhamnosus complicated by multifocal mycotic aneurysms in an immunocompetent patient who consumed probiotic drinks daily. He had a history of hypertension and aortic valve regurgitation.After starting antimicrobial treatment, the patient had rapid disease progression and required emergency surgery to prevent the rupture of two abdominal aneurysms. He subsequently experienced a rupture of an intracranial aneurysm, leading to a subarachnoid and intraventricular hemorrhage. This case highlights the potential severity of Lactobacillaceae infections, even in immunocompetent individuals with daily probiotic consumption. Interest in the health benefits of probiotics has grown in recent years, leading to increased global demand. The number of reported cases of Lactobacillaceae infections has also increased. When using probiotics, both the potential benefits and risks need to be considered, especially in susceptible individuals with predisposing conditions.
DOI	10.7759/cureus.68056
PMID	39347232