To the Editor.—
We read with interest the article by Land et al1“ Lactobacillus Sepsis Associated With Probiotic Therapy,” which described 2 cases of Lactobacillusbacteremia after supplementation with Lactobacillus probiotic. However, they do not report the first cases of invasive disease resulting from the use of Lactobacillus probiotic as claimed in their article. We direct the authors to our article “Two Cases of Lactobacillus Bacteremia During Probiotic Treatment of Short Gut Syndrome,”2which was published in April 2004. Our article describes 2 case reports of infants with short-gut syndrome who were treated with the probiotic Lactobacillus and subsequently developed bacteremia with species. As in the article by Land et al, we confirmed our findings of probiotic Lactobacillus bacteremia through pulse-gel electrophoresis in the case of one of our patients.
We agree with Land et al that these findings should not discourage appropriate use of probiotic...
