2022
DOI: 10.1016/j.jiac.2022.05.006
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A case of Bacillus subtilis var. natto bacteremia caused by ingestion of natto during COVID-19 treatment in a maintenance hemodialysis patient with multiple myeloma

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Cited by 18 publications
(21 citation statements)
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“…natto and other species of B. subtilis rarely induce infection; however, there are several reports of infection by B. subtilis subsp. natto, such as bloodstream infections and meningitis in natto consumers 1–3,6 . To our knowledge, this case is the first report of community‐acquired pneumonia via this pathogen.…”
Section: Discussionmentioning
confidence: 75%
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“…natto and other species of B. subtilis rarely induce infection; however, there are several reports of infection by B. subtilis subsp. natto, such as bloodstream infections and meningitis in natto consumers 1–3,6 . To our knowledge, this case is the first report of community‐acquired pneumonia via this pathogen.…”
Section: Discussionmentioning
confidence: 75%
“…natto, such as bloodstream infections and meningitis in natto consumers. 1 , 2 , 3 , 6 To our knowledge, this case is the first report of community‐acquired pneumonia via this pathogen. The mechanism of pneumonia is unclear.…”
Section: Discussionmentioning
confidence: 75%
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“…Some strains of B. licheniformis isolated from food products showed the production of the surfactant lichenysin, a feature which would not comply with the QPS qualification ‘absence of cytotoxic activity’. Bacteraemia was diagnosed in a highly immunocompromised patient suffering from gut dysbiosis with a B. subtillis strain also present in fermented soya (natto), which was consumed daily by the patient (Kato et al., 2022 ). Haemolytic activity was discovered in some B. amyloliquefaciens (Dabire et al., 2022 ; Gauri et al., 2022 ) and B. subtilis (Dabire et al., 2022 ) strains; a property which is covered by the qualification ‘absence of toxigenic activity’ for Bacillus spp.…”
Section: Assessmentmentioning
confidence: 99%