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Bacterial Meningitis Caused by Bacillus subtilis var. natto
Mieko Tokano1,2, Norihito Tarumoto1, Kazuo Imai1
1Department of Infectious Disease and Infection Control, Saitama Medical University, Japan.
Internal Medicine (Tokyo, Japan)
|November 23, 2022
Summary
A rare Bacillus subtilis infection, potentially linked to daily natto consumption, occurred in a woman. She recovered after vancomycin treatment for the Bacillus subtilis var. natto bacteria.
Area of Science:
- Microbiology
- Infectious Diseases
- Bacterial Pathogenesis
Background:
- Bacillus subtilis is a common soil bacterium, generally considered non-pathogenic.
- Certain fermented foods, like natto, contain specific strains of Bacillus subtilis.
- Infections caused by Bacillus subtilis are uncommon, particularly in immunocompetent individuals.
Observation:
- A 67-year-old woman presented with fever, headache, and altered consciousness.
- Bacillus subtilis was isolated from her cerebrospinal fluid and blood, indicating a serious infection.
- The patient reported daily consumption of natto.
Findings:
- Next-generation sequencing identified the infecting strain as Bacillus subtilis var. natto.
- This specific strain is the same type commonly found in natto.
- The patient was successfully treated with vancomycin.
Implications:
- This case suggests a potential link between Bacillus subtilis var. natto in natto and invasive infections.
- It highlights the importance of considering foodborne sources for rare bacterial infections.
- Further research may be needed to understand the pathogenicity of specific Bacillus subtilis strains and associated food products.
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