Lactobacillus Rhamnosus Sepsis in an Immunosuppressed Patient with Tuberculous Meningitis and MyeloradiculitisSandra Xerinda1*, Pedro Silva2, Carina Reis3, Antonio Sarmento1 and Lurdes Santos1
- *Corresponding Author:
- Sandra Xerinda
Department of Infectious Disease Faculty of Medicine University of Porto, Portugal
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Received Date: April 21, 2013; Accepted Date: May 05, 2013; Published Date: May 07, 2013
Citation: Xerinda S, Nour BYM, Schallig HDFH (2013) Lactobacillus Rhamnosus Sepsis in an Immunosuppressed Patient with Tuberculous Meningitis and Myeloradiculitis. J Trop Dis 1:107. doi: 10.4172/2329-891X.1000107
Copyright: © 2013 Xerinda S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Portugal has reduced the incidence of tuberculosis disease in last years, but has an incidence that surpasses the average in Europe. The risk of reactivation of latent tuberculosis in patients about to undergo immunosuppressive and immunomodulatory therapy is high, and therefore, screening and treatment is mandatory in order to avoid the evolution of the disease from latent to active, with severe forms often difficult to treat.
We report a case of a 37 years old female, previously medicated with prednisolone and mycophenolate mofetil for a bullous pemphigus until the diagnosis of disseminated tuberculosis. In the course of the disease, a central venous catheter was placed for total parenteral nutrition due suspicion of poor absorption of antituberculous drugs. The patient had an endocarditis and septic thrombophlebitis with bacteremia due to Lactobacillus rhamnosus and difficult to treat tuberculosis complicated with meningomyeloradiculitis, which resulted in paraplegia associated with a neurogenic bladder.