A Rare Case of Cholecystitis Caused byRaoultella planticola

Abstract

A 62-year-old female presented with right upper quadrant pain. Clinical examination and ultrasound scan were consistent with gallstones and acute cholecystitis. She received 3 days of intravenous Co-amoxiclav and was discharged with 5-days of oral antibiotics with arrangements to return for an elective cholecystectomy. This was performed 5 months later which revealed an inflamed gallbladder and a localised abscess secondary to gallbladder perforation. Fluid from the gallbladder was taken which cultured Raoultella planticola, a gram-negative, nonmotile environmental bacteria (Bagley et al. (1981)). This is the first report of biliary sepsis with a primary infection by R. planticola. This patient was treated with a 5-day course of oral Co-amoxiclav and made a full recovery.

Four cases of Raoultella planticola conjunctivitis

“…It was also isolated from various clinical specimens. 2 We hereby report four cases of R. planticola conjunctivitis.…”

Severe Sepsis Due to Raoultella Planticola

“…planticola has been reported as clinical isolates in human sputum, stools, wounds and urine, but it is a rare cause of invasive human infection (Teo et al, 2012).…”

Bacteremia with Raoultella planticola in the setting of acute pancreatitis complicated with acute cholangitis

“…Fifteen bacteremia cases were found in the literature, of which four included cholangitis. It usually affects people with significant co-morbidities (usually immunosuppressed individuals) related to trauma and/or prior invasive procedures (1)(2)(3)(4). Prognosis is good as the pathogen is sensitive to most antibiotics, although resistance has already been reported (5).…”