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Pelvic cellulitis caused by Raoultella planticola in a neutropenic patient
Authors:O. Al-Sawaf  J. Garcia-Borrega  J.J. Vehreschild  P. Thelen  G. Fätkenheuer  A. Shimabukuro-Vornhagen  M. Kochanek  B. Böll
Affiliation:1. Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany;2. Department I of Internal Medicine, Division of Infectious Diseases, University Hospital of Cologne, Cologne, Germany;3. German Centre for Infection Research (DZIF), Partner Site Bonn – Cologne, Cologne, Germany;4. Institute for Medical Microbiology, Immunology and Hygiene, University Hospital of Cologne, Cologne, Germany;5. Department I of Internal Medicine, Critical Care Medicine, University Hospital of Cologne, Cologne, Germany
Abstract:
Raoultella planticola is a gram-negative, encapsulated, aerobic bacterium within the Enterobacteriaceae family. It has been primarily described as pathogen in cases with pneumonia and gastrointestinal infections. Here we describe a case of severe pelvic cellulitis in a patient with neutropenia following induction therapy for myeloid sarcoma. The patient experienced a septic shock and was treated successfully with antibiotic therapy. A literature review is provided to put this case in context with previous reports on R. planticola. This report highlights that awareness for uncommon pathogens is crucial in the clinical management of infections in neutropenic patients.
Keywords:Raoultella planticola  Cellulitis  Neutropenia  Myeloid sarcoma  Acute myeloid leukaemia
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