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Veillonella Bacteremia in Alcoholic Hepatitis
Patrick Lee1,2, Brandon K K Fields1,3, Tom Liang1,4
1Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Case Reports in Hepatology
|October 25, 2021
Summary
This case report details Veillonella atypica bacteremia in alcoholic hepatitis, a rare but potentially fatal infection. Early detection and treatment are crucial for survival in patients with severe alcoholic hepatitis and gut dysbiosis.
Area of Science:
- Microbiology
- Hepatology
- Infectious Diseases
Background:
- Veillonella species are common commensals in human microbiota.
- They are rarely implicated as pathogens, but their abundance increases in alcoholic hepatitis.
- Gut dysbiosis is increasingly recognized in severe liver disease.
Observation:
- A novel case of Veillonella atypica bacteremia is reported.
- The patient had biopsy-proven alcoholic hepatitis.
- This highlights a potential complication of gut dysbiosis in this population.
Findings:
- Veillonella species correlate with disease severity and hepatic encephalopathy in liver diseases.
- Veillonella bacteremia can lead to severe infections like meningitis, endocarditis, and osteomyelitis.
- This case underscores the potential pathogenicity of Veillonella in immunocompromised states.
Implications:
- Early identification and treatment of Veillonella bacteremia are critical for patient survival.
- This case emphasizes the clinical significance of gut dysbiosis in severe alcoholic hepatitis.
- Further research is needed to understand the role of Veillonella in liver disease progression and outcomes.
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