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Acute prostatitis caused by Raoultella planticola in a renal transplant recipient: a novel case
Authors:M. Koukoulaki  A. Bakalis  V. Kalatzis  E. Belesiotou  V. Papastamopoulos  A. Skoutelis  S. Drakopoulos
Affiliation:1. First Department of Surgery and Transplant Unit, Evangelismos General Hospital, , Athens, Greece;2. Department of Microbiology, Evangelismos General Hospital, , Athens, Greece;3. Fifth Department of Internal Medicine – Infectious Diseases, Evangelismos General Hospital, , Athens, Greece
Abstract:We present a unique case of acute bacterial prostatitis caused by a very rare human pathogen, Raoultella planticola, in a renal allograft recipient 3.5 months post transplantation. Only a few cases of human infection by this pathogen have been reported worldwide. The present study reports the case of a 67‐year‐old man who was admitted to our transplant unit 3.5 months post transplantation with fever, dysuria, suprapubic pain, symptoms and signs of acute prostatitis, and elevated markers of inflammation and prostate‐specific antigen. R. planticola was isolated in the urine culture. The patient was treated with ciprofloxacin (based on the antibiogram) and had a full recovery, with satisfactory renal function. To the best of our knowledge, this is not only the first reported case of R. planticola prostatitis, but also the first report of such an infection in a solid organ transplant recipient or in a patient on immunosuppressive medication.
Keywords:acute prostatitis  renal transplantation  immunosuppression  gram‐negative bacteria     Raoultella planticola   
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