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Modern Rheumatology

, Volume 21, Issue 6, pp 691–695 | Cite as

Leuconostoc bacteremia in a patient with amyloidosis secondary to rheumatoid arthritis and tuberculosis arthritis

  • JeongHwan Shin
  • Minyoung HerEmail author
  • Chisook Moon
  • Dongyook Kim
  • SangHeon Lee
  • SooJin Jung
Case Report

Abstract

Leuconostoc infections are rare and usually occur in immunocompromised patients. This report describes a case of Leuconostoc lactis bacteremia in a patient with coexisting rheumatoid arthritis and tuberculosis arthritis. A disrupted gastrointestinal barrier due to gastrointestinal amyloidosis in long-standing rheumatoid arthritis and tuberculosis arthritis could be a risk factor for Leuconostoc bacteremia. Despite aggressive antibiotic treatment, the patient progressed to septic shock and multi-organ failure. The fatal course might have been caused by rapid progression of gastrointestinal pathology, which could be a risk factor for Leuconostoc bacteremia.

Keywords

Leuconostoc lactis Amyloidosis Rheumatoid arthritis Tuberculosis 

Notes

Conflict of interest

None.

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Copyright information

© Japan College of Rheumatology 2011

Authors and Affiliations

  • JeongHwan Shin
    • 1
  • Minyoung Her
    • 2
    Email author
  • Chisook Moon
    • 3
  • Dongyook Kim
    • 2
  • SangHeon Lee
    • 4
  • SooJin Jung
    • 5
  1. 1.Department of Laboratory Medicine and Paik Institute for Clinical ResearchInje University College of MedicineBusanSouth Korea
  2. 2.Division of Rheumatology, Department of Internal Medicine, Pusan Paik HospitalInje UniversityBusanSouth Korea
  3. 3.Division of Infection, Department of Internal Medicine, Pusan Paik HospitalInje UniversityBusanSouth Korea
  4. 4.Division of Gastroenterology, Department of Internal Medicine, Pusan Paik HospitalInje UniversityBusanSouth Korea
  5. 5.Department of Pathology, Pusan Paik HospitalInje UniversityBusanSouth Korea

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