Persistent Lactobacillus casei subspecies rhamnosus bacteremia in a girl with acute myeloid leukemia - a case report

被引:9
作者
Majcher-Peszynska, J [1 ]
Heine, W [1 ]
Richter, I [1 ]
Eggers, G [1 ]
Mohr, C [1 ]
机构
[1] Univ Rostock, Kinder & JugendKlin, Forsch Labor, D-18057 Rostock, Germany
来源
KLINISCHE PADIATRIE | 1999年 / 211卷 / 02期
关键词
persisting Lactobacillus casei subsp. rhamnosus; bacteremia; antibiotic resistance; acute myeloid leukemia;
D O I
10.1055/s-2008-1043764
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The present clinical observation is related to a 14-year-old girl suffering from acute myeloid leukemia. The clinical course was complicated by episodes of severe enterocolitis. E coli- septicemia, pancreatitis and pneumonia. In the course of continued cytostatic and antibiotic treatment a persistent asymptomatic Lactobacillus casei subsp. rhamnosus-bacteremia became detectable by a total of 18 blood cultures. Microbial cultures of the faeces revealed colony-forming unites of this germ in orders of 10(9)/g. Antibiotic eradication attempts according to the resistogram were not successful. The Lactobacillus-bacteremia disappeared only after 13 months when the cytostatic therapy was terminated. An adjuvant influence of the Lactobacillus infection on the outcome of the underlying disease can not be excluded.
引用
收藏
页码:53 / 56
页数:4
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