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Clostridium butyricum Bacteremia Associated with Probiotic Use, Japan

by Yamamoto, Go , Matsuo, Hiroo , Kutsuna, Satoshi , Hamaguchi, Shigeto , Motooka, Daisuke , Ueda, Akiko , Sada, Ryuichi Minoda

in Analysis / Antibiotics / Bacteremia / Bacteremia - epidemiology / Bacteremia Associated with Probiotic Use, Japan / Bacteria / Blood / Care and treatment / Catheters / Cheese / Clostridium butyricum / Clostridium butyricum - genetics / Clostridium infections / Comorbidity / Complications and side effects / Diarrhea / Disease susceptibility / DNA sequencing / Esophagus / Genomes / Genomics / Hospital patients / Hospitalization / Hospitals / Humans / Imipenem / inappropriate prescribing / Inflammatory bowel disease / Japan / Japan - epidemiology / Medical examination / Medical history / Medical records / Medical research / Medicine, Experimental / Metronidazole / Mutation / Nucleotide sequencing / Observational studies / Patients / Penicillin / Prevention / Probiotics / Probiotics - adverse effects / Retrospective Studies / Risk factors / Toxins / Whole genome sequencing

2024

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Clostridium butyricum Bacteremia Associated with Probiotic Use, Japan

by Yamamoto, Go , Matsuo, Hiroo , Kutsuna, Satoshi , Hamaguchi, Shigeto , Motooka, Daisuke , Ueda, Akiko , Sada, Ryuichi Minoda

2024

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Clostridium butyricum Bacteremia Associated with Probiotic Use, Japan

by Yamamoto, Go , Matsuo, Hiroo , Kutsuna, Satoshi , Hamaguchi, Shigeto , Motooka, Daisuke , Ueda, Akiko , Sada, Ryuichi Minoda

2024

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Journal Article

Clostridium butyricum Bacteremia Associated with Probiotic Use, Japan

Yamamoto, Go,

Matsuo, Hiroo,

Kutsuna, Satoshi,

Hamaguchi, Shigeto,

Motooka, Daisuke,

Ueda, Akiko,

Sada, Ryuichi Minoda

2024

Overview

Clostridium butyricum, a probiotic commonly prescribed in Asia, most notably as MIYA-BM (Miyarisan Pharmaceutical Co., Ltd.; https://www.miyarisan.com), occasionally leads to bacteremia. The prevalence and characteristics of C. butyricum bacteremia and its bacteriologic and genetic underpinnings remain unknown. We retrospectively investigated patients admitted to Osaka University Hospital during September 2011-February 2023. Whole-genome sequencing revealed 5 (0.08%) cases of C. butyricum bacteremia among 6,576 case-patients who had blood cultures positive for any bacteria. Four patients consumed MIYA-BM, and 1 patient consumed a different C. butyricum-containing probiotic. Most patients had compromised immune systems, and common symptoms included fever and abdominal distress. One patient died of nonocclusive mesenteric ischemia. Sequencing results confirmed that all identified C. butyricum bacteremia strains were probiotic derivatives. Our findings underscore the risk for bacteremia resulting from probiotic use, especially in hospitalized patients, necessitating judicious prescription practices.

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Publisher

U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention

Subject

Analysis

/ Antibiotics

/ Bacteremia

/ Bacteremia - epidemiology

/ Bacteremia Associated with Probiotic Use, Japan

/ Bacteria

/ Blood