Raoultella planticola peritonitis in a patient on continuous ambulatory peritoneal dialysis

Kim, Sun Woo; Kim, Ji Eun; Hong, Yu Ah; Ko, Gang Jee; Pyo, Heui Jung; Kwon, Young Joo

doi:10.1007/s15010-015-0788-4

Cited by 15 publications

(15 citation statements)

References 21 publications

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“…It is an emerging pathogen, associated most commonly with urinary tract infections and bacteraemia. There has been only one previous report of R. planticola PD peritonitis worldwide …”

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confidence: 99%

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Refractory raoultella planticola peritonitis in an HIV positive patient

et al. 2016

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“…It is an emerging pathogen, associated most commonly with urinary tract infections and bacteraemia. There has been only one previous report of R. planticola PD peritonitis worldwide …”

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confidence: 99%

“…Treatment failure with intraperitoneal cephazolin and ceftazidime, despite the isolate displaying in‐vitro susceptibility to these antimicrobials, has been described in an immunocompetent patient . Recovery occured only after the administration of intraperitoneal ciprofloxacin.…”

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confidence: 99%

Refractory raoultella planticola peritonitis in an HIV positive patient

et al. 2016

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“…Los principales factores de riesgo para desarrollar infección por R. planticola son: las neoplasias primarias o metastásicas (principalmente con compromiso de la vía biliar); el trauma o alguna intervención reciente y el trasplante de médula ósea (7)(8)(9). En el caso de nuestra paciente las manifestaciones clínicas fueron un cuadro agudo de síndrome febril con escalofríos, dolor abdominal y deposiciones blandas.…”

Section: Discussionunclassified

Bacteriemia por Raoultella planticola de origen gastrointestinal

Ramírez-Quintero

Chavarriaga-Restrepo

2017

iatreia

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RESUMENLa bacteria Raoultella planticola se ha asociado raramente con infección clínica. Entre sus manifestaciones se destacan las infecciones del tubo digestivo y la bacteriemia. La mayoría de los casos son de origen nosocomial secundarios a procedimientos invasivos o se dan en el marco de una afección neoplásica de la vía biliar. Tratada a tiempo, la infección es de curso benigno, pero no se debe desestimar esta bacteria como inocua pues tiene homología estrecha con Klebsiella spp., lo que le confiere el potencial de adquirir mecanismos de resistencia a antibióticos como los genes bla KPC. Presentamos el caso de una paciente con bacteriemia por R. planticola de origen gastrointestinal adquirida en la comunidad y tratada exitosamente en un hospital de referencia en la ciudad de Medellín. PALABRAS CLAVEBacteriemia; Farmacorresistencia Bacteriana; Infecciones por Enterobacteriaceae; Sepsis SUMMARY Raoultella planticola bacteremia of gastrointestinal originRaoultella planticola, a bacteria found in water and soil, is rarely associated to human disease, mostly bacteremia and gastrointestinal infections. It is usually related with health care procedures or affects patients with malignant biliary disease. If properly treated, this infection is usually benign, but the germ must not be disregarded as an innocent bystander because it has homology with Klebsiella spp., and therefore the potential to acquire antimicrobial resistance mechanisms like bla KPC genes. We report the case of a patient with community-aquired R. planticola bacteremia of gastrointestinal origin.

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“… 3 - 6 Although R. planticola is an environmental bacterium found in the water, soil, and plants, it is also isolated from nearly all human tissues and fluids. 7 - 8 After its identification, the clinical significance of R. planticola remained uncharacterized for almost a decade. 8 However, since the description of the case of septicemia reported by Freney et al 9 in 1984 (identified as Klebsiella trevisanii at the time), many other cases of infections in humans have been reported; therefore the pathogenicity of R. planticola needs to be revised.…”

Section: Discussionmentioning

confidence: 99%

“…The infection by this emerging pathogen is associated with either immunosuppression states, such as neoplasia, chronic renal disease, and diabetes mellitus, or invasive procedures and trauma. 7 , 10 The infection sites reported so far that are caused by R. planticola are: (i) sepsis/bacteremia; 9 , 11 - 17 (ii) pneumonia; 14 - 18 (iii) abdominal infections; 8 , 10 - 12 , 19 - 21 (iv) urinary tract; 22 , 23 (v) skin and soft tissues; 24 - 26 and (vi) conjunctivitis, 27 which account for a little more than 20 cases.…”

Section: Discussionmentioning

confidence: 99%

Fatal pancreatic pseudocyst co-infected by Raoultella planticola: an emerging pathogen

Campos¹,

Guimarães²,

Lovisolo³

2016

ACR

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Raoultella planticola is an aerobic Gram-negative bacterium belonging to the Enterobacteriaceae family. Initially identified in the 1980s, its pathogenic potential was further recognized when the first case of bacteremia was reported. Since then, only a few infections caused by this pathogen have been described. Although considered an opportunistic agent, fatal outcomes are associated with the infection by this pathogen, since it is more prevalent among the patients with immunodeficiency. The authors report the case of a middle-aged man diagnosed with end-stage renal disease and alcoholic pancreatitis, who was admitted to the emergency department with septic shock. Physical examination disclosed peritoneal irritation and a laparotomy was undertaken. Purulent peritonitis was found as well as a retroperitoneal abscess, which was drained. The postoperative period was troublesome, and the patient died. The autopsy showed a ruptured, infected pancreatic cyst and purulent peritonitis, among other findings. The culture of the peritoneal fluid and two blood sample sets were positive for R. planticola. The authors call attention to the importance of this emerging pathogen associated with severe gastrointestinal infections.

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Raoultella planticola peritonitis in a patient on continuous ambulatory peritoneal dialysis

Cited by 15 publications

References 21 publications

Refractory raoultella planticola peritonitis in an HIV positive patient

Refractory raoultella planticola peritonitis in an HIV positive patient

Bacteriemia por Raoultella planticola de origen gastrointestinal

Fatal pancreatic pseudocyst co-infected by Raoultella planticola: an emerging pathogen

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