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[Liver abscess caused by Lactobacillus acidophilus]

L Larvol1, A Monier, P Besnier

  • 1Service de Médècine Interne et Gastroentérologie, Hôpital Fontenoy, Chartres.

Gastroenterologie Clinique Et Biologique
|March 1, 1996
PubMed
Summary

Lactobacillus acidophilus, typically non-pathogenic, caused a liver abscess in a patient with chronic pancreatitis. Treatment with antibiotics led to complete recovery, highlighting a rare but serious infection.

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Area of Science:

  • Medical Microbiology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Lactobacillus acidophilus is generally recognized as a commensal bacterium with probiotic properties.
  • Chronic pancreatitis can lead to significant gastrointestinal dysfunction, including endocrine and exocrine insufficiency.
  • Choledoco-duodenostomy is a surgical procedure that alters the normal anatomy of the biliary and digestive tracts.

Observation:

  • A case of liver abscess was identified in a 39-year-old male patient.
  • The patient had a history of chronic pancreatitis with endocrine and exocrine insufficiency and a choledoco-duodenostomy.
  • Lactobacillus acidophilus was isolated from both blood and liver abscess samples.

Findings:

  • The liver abscess was successfully treated with a course of antibiotics.

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  • The patient experienced complete recovery from the infection.
  • Lactobacillus acidophilus was confirmed as the causative agent of the liver abscess.

    • Implications:

    • Altered duodenal pH due to pancreatic insufficiency may predispose to Lactobacillus acidophilus adhesion and proliferation.
    • Choledoco-duodenostomy could facilitate the colonization of the biliary tract by bacteria like Lactobacillus acidophilus.
    • This case underscores the potential pathogenicity of Lactobacillus acidophilus in immunocompromised or anatomically altered hosts.