Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review
Raoultella planticola is an aquatic and soil organism that does not notoriously cause invasive infections in humans. Infections in the literature are limited only in case reports. We present a very rare case of R. planticola cholecystitis. A 71-year-old female patient with abdominal pain was diagnos...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2017/4181582 |
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| author | Suat Can Ulukent İnanc Samil Sarici Nuri Alper Sahbaz Yigit Mehmet Ozgun Ozlem Akca Kamuran Sanlı |
| author_facet | Suat Can Ulukent İnanc Samil Sarici Nuri Alper Sahbaz Yigit Mehmet Ozgun Ozlem Akca Kamuran Sanlı |
| author_sort | Suat Can Ulukent |
| collection | DOAJ |
| description | Raoultella planticola is an aquatic and soil organism that does not notoriously cause invasive infections in humans. Infections in the literature are limited only in case reports. We present a very rare case of R. planticola cholecystitis. A 71-year-old female patient with abdominal pain was diagnosed with acute cholecystitis. Patient received intravenous antibiotic treatment, but the treatment failed and the patient underwent an open cholecystectomy. The final pathological result was gangrenous cholecystitis complicated with R. planticola. Eventually, the patient recovered with appropriate antimicrobial therapy. Patients with acute cholecystitis are usually treated without any microbiological sampling and antibiotic treatment is started empirically. To date, there have only been 5 reported biliary system related R. planticola infections in humans. We believe that Raoultella species might be a more frequent agent than usually thought, especially in resistant cholecystitis cases. Resistant strains should be considered as a possible causative organism when the patient’s condition worsened despite proper antimicrobial therapy. It should be considered safe to send microbiological samples for culture and specifically define the causative microorganisms even in the setting of a cholecystectomized patient. |
| format | Article |
| id | doaj-art-30cd5a34c4714602a6e5143017c257a9 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-30cd5a34c4714602a6e5143017c257a92025-02-03T01:26:21ZengWileyCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/41815824181582Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature ReviewSuat Can Ulukent0İnanc Samil Sarici1Nuri Alper Sahbaz2Yigit Mehmet Ozgun3Ozlem Akca4Kamuran Sanlı5Kanuni Sultan Suleyman Training and Research Hospital, Department of General Surgery, Istanbul, TurkeyKanuni Sultan Suleyman Training and Research Hospital, Department of General Surgery, Istanbul, TurkeyKanuni Sultan Suleyman Training and Research Hospital, Department of General Surgery, Istanbul, TurkeyKanuni Sultan Suleyman Training and Research Hospital, Department of General Surgery, Istanbul, TurkeyKanuni Sultan Suleyman Training and Research Hospital, Department of General Surgery, Istanbul, TurkeyKanuni Sultan Suleyman Training and Research Hospital, Department of Clinical Microbiology, Istanbul, TurkeyRaoultella planticola is an aquatic and soil organism that does not notoriously cause invasive infections in humans. Infections in the literature are limited only in case reports. We present a very rare case of R. planticola cholecystitis. A 71-year-old female patient with abdominal pain was diagnosed with acute cholecystitis. Patient received intravenous antibiotic treatment, but the treatment failed and the patient underwent an open cholecystectomy. The final pathological result was gangrenous cholecystitis complicated with R. planticola. Eventually, the patient recovered with appropriate antimicrobial therapy. Patients with acute cholecystitis are usually treated without any microbiological sampling and antibiotic treatment is started empirically. To date, there have only been 5 reported biliary system related R. planticola infections in humans. We believe that Raoultella species might be a more frequent agent than usually thought, especially in resistant cholecystitis cases. Resistant strains should be considered as a possible causative organism when the patient’s condition worsened despite proper antimicrobial therapy. It should be considered safe to send microbiological samples for culture and specifically define the causative microorganisms even in the setting of a cholecystectomized patient.http://dx.doi.org/10.1155/2017/4181582 |
| spellingShingle | Suat Can Ulukent İnanc Samil Sarici Nuri Alper Sahbaz Yigit Mehmet Ozgun Ozlem Akca Kamuran Sanlı Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review Case Reports in Infectious Diseases |
| title | Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review |
| title_full | Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review |
| title_fullStr | Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review |
| title_full_unstemmed | Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review |
| title_short | Is It Necessary to Specifically Define the Cause of Surgically Treated Biliary Tract Infections? A Rare Case of Raoultella planticola Cholecystitis and Literature Review |
| title_sort | is it necessary to specifically define the cause of surgically treated biliary tract infections a rare case of raoultella planticola cholecystitis and literature review |
| url | http://dx.doi.org/10.1155/2017/4181582 |
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