alexa Lactobacillus Rhamnosus Sepsis in an Immunosuppressed P
ISSN: 2329-891X

Journal of Tropical Diseases & Public Health
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Case Report

Lactobacillus Rhamnosus Sepsis in an Immunosuppressed Patient with Tuberculous Meningitis and Myeloradiculitis

Sandra Xerinda1*, Pedro Silva2, Carina Reis3, Antonio Sarmento1 and Lurdes Santos1

1Department of Infectious Disease-Nephrology Research an Development Unit (FCT-725), Faculty of Medicine, University of Porto, Portugal

2Department of Neurosurgery, Faculty of Medicine, University of Porto, Portugal

3Radiology Department – Faculty of Medicine, University of Porto. C. H. São João. Porto - Portugal

*Corresponding Author:
Sandra Xerinda
Department of Infectious Disease Faculty of Medicine University of Porto, Portugal
Tel: +351 225 512 100
Fax: +351 225512216
E-mail: [email protected]

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.

 

Abstract

Portugal has reduced the incidence of the disease in last year’s, 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.

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