Bacillus subtilis Bacteremia from Gastrointestinal Perforation after Natto Ingestion, Japan

Abstract

We report a case of Bacillus subtilis variant natto bacteremia from a gastrointestinal perforation in a patient who ingested natto. Genotypic methods showed the bacteria in a blood sample and the ingested natto were the same strains. Older or immunocompromised patients could be at risk for bacteremia from ingesting natto.

Keywords

• Bacillus subtilis
• bacteria
• food safety
• enteric infections
• bacteremia
• gastrointestinal perforation