title: Pancreatic necrosis infection due to Lactobacillus paracasei in an immunocompetent patient.
abstract: An immunocompetent patient recovering from gallstone-induced pancreatitis had to be readmitted due to abdominal pain, fever, and rapid deterioration. Computed tomography guided needle aspiration established the diagnosis of pancreatic necrosis infection; microbiological investigations revealed monoinfection with Lactobacillus paracasei subspecies tolerans. To our knowledge, this is the first description of a pancreatic necrosis infection due to L. paracasei in an immunocompetent patient without any known risk factors for Lactobacillus infections.
authors.affiliation: Department of Internal Medicine, Kantonsspital Aarau, Aarau, Switzerland. werner.zgraggen@insel.ch
authors.forename: W J
authors.initials: WJ
authors.lastname: Z'Graggen
authors.forename: H
authors.initials: H
authors.lastname: Fankhauser
authors.forename: F
authors.initials: F
authors.lastname: Lammer
authors.forename: T
authors.initials: T
authors.lastname: Bregenzer
authors.forename: D
authors.initials: D
authors.lastname: Conen
mesh_terms: D016908:Gram-Positive Bacterial Infections / Q000276:immunology / Q000382:microbiology*; D006801:Humans; D007121:Immunocompetence; D007778:Lactobacillus / Q000145:classification / Q000302:isolation & purification*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010182:Pancreatic Diseases / Q000382:microbiology* / Q000473:pathology