Invasive Saccharomyces cerevisiae infection: a friend turning foe?

Unnikrishnan Pillai1, Joe Devasahayam, Aparna Narayana Kurup

  • 1Department of Internal Medicine, St. Mary's HealthCenter, St. Louis, MO, USA.

Insights

A rare case of acute pyelonephritis was caused by Saccharomyces cerevisiae, a common probiotic. This yeast demonstrated virulence when isolated from blood, urine, stool, and vaginal swabs in a patient with chronic kidney disease and diabetes.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Nephrology

Background:

  • Yeast infections are typically associated with Candida species.
  • Saccharomyces cerevisiae is a well-known human commensal, often used as a probiotic.
  • Patients with chronic kidney disease and diabetes are at increased risk for infections.

Observation:

  • A 51-year-old female with chronic kidney disease and diabetes presented with acute pyelonephritis.
  • The patient had a history of probiotic use, including Saccharomyces cerevisiae.

Findings:

  • Saccharomyces cerevisiae was identified as the causative agent of acute pyelonephritis.
  • The yeast was isolated from multiple body sites, including blood, urine, stool, and vaginal swabs.
  • This case highlights the potential for Saccharomyces cerevisiae to act as an opportunistic pathogen.

Implications:

  • Clinicians should consider Saccharomyces cerevisiae in the differential diagnosis of infections, especially in immunocompromised patients or those with underlying conditions like chronic kidney disease and diabetes.
  • The widespread use of Saccharomyces cerevisiae as a probiotic warrants careful consideration of its potential for causing invasive infections.
  • Further research is needed to understand the mechanisms of virulence and identify risk factors for Saccharomyces cerevisiae infections.