Yes, even if you get it off the top fibers and it's in the base of the carpeting and pad this can continue to grow. Put some ammonia on it and let it dry this will even kill mildew.
Can bacteria in your carpet cause damage over time?
Damage to the carpet itself? Perhaps if it's made of natural fibers the bacteria might degrade it. If it's any sort of man-made fiber (nylon or other plastic type fiber) then you're probably safe.
If you're concerned about it you can always spray the carpet with an anti-bacterial spray that's used to "freshen" fabrics or the air in the room. That should kill any of the common bacteria present and it shouldn't harm the carpet as long as it's a light misting and the carpet isn't soaked in the stuff.
Good luck!
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