Flavonifractor plautii: A Rare Cause of Anaerobic Bacteremia
Abstract
Flavonifractor plautii (formerly Eubacterium plautii) is a Gram-variable, strict anaerobic bacillus that forms part of the human gut microbiome, although its role in human health remains incompletely understood. F. plautii has rarely been linked to clinical infections. We describe a case of bacteremia in a patient with severe intrahepatic biliary ductal dilatation and septic shock and F. plautii bacteremia, which cleared following treatment with ceftriaxone and metronidazole. Diarrhea with disruption of the gut barrier and subsequent bacterial translocation appear to be the mechanism for bacteremia due to this organism. Based on this case and previous reports, F. plautii infections appear susceptible to beta-lactam antibiotics (e.g., ampicillin, ceftriaxone) and anaerobic agents (e.g., metronidazole, clindamycin), supporting their use as preferred treatment options over glycopeptides or oxazolidinones. This case underscores the importance of recognizing anaerobic gut commensals as potential bloodstream pathogens in critically ill patients.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Severe clinical outcomes of COVID-19 associated with proton pump inhibitors: a nationwide cohort study with propensity score matching
- Penicillins for Treatment of Pneumococcal Pneumonia: Does In Vitro Resistance Really Matter?
- Thiophenes—Naturally Occurring Plant Metabolites: Biological Activities and In Silico Evaluation of Their Potential as Cathepsin D Inhibitors
- Inhalable Mannosylated Rifampicin–Curcumin Co-Loaded Nanomicelles with Enhanced In Vitro Antimicrobial Efficacy for an Optimized Pulmonary Tuberculosis Therapy
- Development and validation of microbial bioassay for quantification of Levofloxacin in pharmaceutical preparations
- Association between cord blood 25-hydroxyvitamin D concentrations and respiratory tract infections in the first 6 months of age in a Korean population: a birth cohort study (COCOA)
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.