Streptococcus thermophilus bacteraemia in a patient with transient bowel ischaemia secondary to polycythaemia

Article English OPEN
Stephens, Joanna ; Turner, David P.J. (2015)
  • Publisher: Microbiology Society
  • Related identifiers: doi: 10.1099/jmmcr.0.000060
  • Subject:
    mesheuropmc: food and beverages | hemic and lymphatic diseases

Introduction: The ability of Streptococcus thermophilus to convert lactose into lactic acid has long been utilised by the dairy industry. A seemingly low-pathogenicity organism, there have been no previously published reports linking the consumption of foodstuffs to bacteraemia with this bacterium.\ud Case Presentation: Here we present a case of a regular consumer of Activia yoghurt who developed S. thermophilus bacteraemia probably due to transient bowel ischaemia secondary to polycythaemia.\ud Conclusion: The isolation of this bacterium from blood cultures may indicate underlying large bowel pathology and should not necessarily be dismissed as contamination.
  • References (10)

    Boyle, R. J., Robins-Browne, R. M. & Tang, M. L. K. (2006). Probiotic use in clinical practice: what are the risks? Am J Clin Nutr 83, 1263-1264, quiz 1446-1447.

    Christner, M., Rohde, H., Wolters, M., Sobottka, I., Wegscheider, K. & Aepfelbacher, M. (2010). Rapid identification of bacteria from positive blood culture bottles by use of matrix-assisted laser desorptionionization time of flight mass spectrometry fingerprinting. J Clin Microbiol 48, 1584-1591.

    D'Souza, A. L., Rajkumar, C., Cooke, J. & Bulpitt, C. J. (2002). Probiotics in prevention of antibiotic associated diarrhoea: metaanalysis. BMJ 324, 1361.

    Fuller, R. (1991). Probiotics in human medicine. Gut 32, 439-442.

    Hols, P., Hancy, F., Fontaine, L., Grossiord, B., Prozzi, D., LeblondBourget, N., Decaris, B., Bolotin, A., Delorme, C. & other authors (2005). New insights in the molecular biology and physiology of Streptococcus thermophilus revealed by comparative genomics. FEMS Microbiol Rev 29, 435-463.

    Iyer, R., Tomar, S. K., Maheswari, T. U. & Singh, R. (2010). Streptococcus thermophilus strains: multifunctional lactic acid bacteria. Int Dairy J 20, 133-141.

    Prajapati, J. B., Nathani, N. M., Patel, A. K., Senan, S. & Joshi, C. G. (2013). Genomic analysis of dairy starter culture Streptococcus thermophilus MTCC 5461. J Microbiol Biotechnol 23, 459-466.

    Sahin, I., Acar, S., Ozaydın, I., Ozaydın, C., Calı s¸kan, E., Yavuz, M. T. & Iskender, A. (2012). [Investigation of the effects of probiotic bacteria on bacterial translocation that developed during diagnostic laparoscopy: an experimental study]. Mikrobiyol Bul 46, 660-670, (in Turkish).

    Sazawal, S., Hiremath, G., Dhingra, U., Malik, P., Deb, S. & Black, R. E. (2006). Efficacy of probiotics in prevention of acute diarrhoea: a meta-analysis of masked, randomised, placebo-controlled trials. Lancet Infect Dis 6, 374-382.

    Wilck, M. B., Wu, Y., Howe, J. G., Crouch, J. Y. & Edberg, S. C. (2001). Endocarditis caused by culture-negative organisms visible by Brown and Brenn staining: utility of PCR and DNA sequencing for diagnosis. J Clin Microbiol 39, 2025-2027.

  • Metrics
    No metrics available
Share - Bookmark