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Published on: September 22, 2019
Eggerthella lenta bacteremia in a Crohn's disease patient after ileocecal resection
Venkata R Thota1, Sunil Dacha, Aparna Natarajan
1Department of Medicine, Saint Joseph Hospital, Chicago, IL 60657, USA. drthota@gmail.com
Abstract:
Eggerthella lenta is an anaerobic, nonspore-forming Gram-positive rod and is a common gut commensal. Bacteremia from this organism is rare but when present is always clinically significant. Gastrointestinal disease and malignancy are the most common causes for bacteremia from this organism. Eggerthella species have been isolated in feces from patients with inflammatory bowel disease, but bacteremia has not been reported to the best of our knowledge. Here we report the case of a young African-American female with Crohn's disease who developed Eggerthella lenta bacteremia after ileocaecal resection.
Insights
Eggerthella lenta bacteremia is rare but significant, often linked to gastrointestinal issues. This case highlights a young Crohn's disease patient experiencing this infection post-surgery.
Area of Science:
- Microbiology
- Gastroenterology
- Infectious Diseases
Background:
- Eggerthella lenta is a common gut bacterium.
- Bacteremia caused by E. lenta is rare and clinically significant.
- Gastrointestinal diseases and malignancy are typical causes of E. lenta bacteremia.
Observation:
- Eggerthella species are found in patients with inflammatory bowel disease.
- E. lenta bacteremia has not been previously reported in Crohn's disease patients.
- A young African-American female with Crohn's disease developed E. lenta bacteremia.
Findings:
- The patient underwent ileocaecal resection.
- Post-surgery, the patient developed E. lenta bacteremia.
- This represents a novel association between Crohn's disease, surgery, and E. lenta bacteremia.
Implications:
- This case expands the understanding of E. lenta as a potential pathogen in immunocompromised patients.
- Highlights the importance of considering E. lenta in patients with inflammatory bowel disease and recent gastrointestinal surgery.
- Suggests a potential link between gut dysbiosis in Crohn's disease and invasive E. lenta infections.
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