Intravascular infection with Lactobacillus paracasei.
A patient is described with sub acute but life-threatening intravascular infection with Lactobacillus paracasei. Intrasplenic rupture of a mycotic aneurysm led to haematoma and early abscess formation with some bleeding into the peritoneum. The infection was cured with splenectomy and a prolonged course of ampicillin and gentamicin.
Sturdee
S
S
Department of Medicine, Harrogate District Hospital, Harrogate, North Yorkshire, U.K.
Bainton
R
R
Barnham
M
M
D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007778:Lactobacillus / Q000302:isolation & purification*; D008297:Male; D010537:Peritoneum / Q000098:blood supply; D013154:Spleen / Q000098:blood supply*