title: The potential risks of probiotics among HIV-infected persons: Bacteraemia due to Lactobacillus acidophilus and review of the literature.
abstract: Lactobacillus sp. are commensal organisms that are increasingly reported to cause invasive infections among immunosuppressed persons. However, few data exist regarding the occurrence and risk factors of these infections among HIV-infected persons. Further, the safety of products that contain lactobacilli (e.g. probiotics) in certain populations, including those with HIV/AIDS, is unclear. We report a case of Lactobacillus acidophilus bacteraemia in a patient with AIDS temporally related to excessive consumption of probiotic-enriched yogurt, and provide a comprehensive review of the literature of Lactobacillus sp. infections among HIV-infected persons.
authors.affiliation: University of California, San Diego, CA, USA.
authors.forename: Leila
authors.initials: L
authors.lastname: Haghighat
authors.affiliation: Infectious Diseases, Scripps Mercy Hospital, San Diego, CA, USA nancy32red@yahoo.com.|Naval Medical Center San Diego, San Diego, CA, USA.
authors.forename: Nancy F
authors.initials: NF
authors.lastname: Crum-Cianflone
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D019818:Clavulanic Acid / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D016867:Immunocompromised Host; D007779:Lactobacillus acidophilus / Q000302:isolation & purification* / Q000472:pathogenicity; D008297:Male; D008875:Middle Aged; D019936:Probiotics / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D019818:Clavulanic Acid; D000658:Amoxicillin
keywords: HIV; Lactobacillus; invasive infections; lactobacillemia; probiotics; review; risk factors