A Rapidly Fatal Case of Lactobacillus Rhamnosus Sepsis Associated with Thyroid Storm in an Immunocompetent Patient

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Author Info

Nasser Al-Rubai’aan Rita Dhar Wadha A. Alfouzan

Corresponding Author

Wadha A. Alfouzan
Department of Laboratory Medicine, Microbiology Unit, Farwaniya Hospital, Kuwait

A B S T R A C T

We report a rapidly fatal case of 29-year-old man who presented with typical features of sepsis along with thyrotoxicosis. Presence of thrombotic lesions in his lower extremities led to the assumption that the source of infection could be endocarditis. However, transthoracic echocardiography did not confirm the preliminary diagnosis. Report of facultative anaerobic Gram-positive bacilli seen in the Gram stain of positive blood culture prompted initiation of treatment with ceftriaxone, vancomycin and metronidazole. Thyrotoxicosis was managed with propranolol, propylthiouracil, Lugol’s iodine and hydrocortisone. Diagnostic criteria for thyroid storm and infective endocarditis and therapy of Lactobacillus sepsis with a possible cause of death in the present case are discussed.

Article Info

Article Type

Research Article

Publication history

Received: Tue 24, Sep 2019
Accepted: Tue 08, Oct 2019
Published: Mon 21, Oct 2019

Copyright

© 2023 Wadha A. Alfouzan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.EJGM.2019.01.02