Rahman Ali, Alqaisi Sura, Nath Jayant
Internal Medicine, Mather Hospital/Northwell Health, Port Jefferson, USA.
Internal Medicine, Memorial Hospital Pembroke, Pembroke Pines, USA.
Cureus. 2023 Apr 24;15(4):e38049. doi: 10.7759/cureus.38049. eCollection 2023 Apr.
Probiotics are microorganisms, typically bacteria, similar to beneficial microbiota found in the human gut, usually consumed as dietary supplements or fermented foods. Although probiotics are generally safe, several cases of bacteremia, sepsis, and endocarditis associated with probiotics have been reported. Here we report a rare case of endocarditis in a 71-year-old female, immunocompromised due to chronic steroid intake, who presented with a productive cough and low-grade fever. Blood cultures grew resistant to vancomycin and meropenem. Transesophageal echocardiography showed mitral and aortic vegetations; valve replacement was done after successfully removing vegetations. She was treated with a six-week course of daptomycin and recovered.
益生菌是微生物，通常为细菌，类似于人体肠道中发现的有益微生物群，通常作为膳食补充剂或发酵食品食用。尽管益生菌一般是安全的，但已有几例与益生菌相关的菌血症、败血症和心内膜炎的报道。在此，我们报告一例罕见的心内膜炎病例，患者为一名71岁女性，因长期服用类固醇而免疫功能低下，表现为咳痰和低热。血培养结果显示对万古霉素和美罗培南耐药。经食管超声心动图显示二尖瓣和主动脉瓣有赘生物；在成功清除赘生物后进行了瓣膜置换。她接受了为期六周的达托霉素治疗并康复。
