Clinical significance of positive Raoultella Ornithinolytica and Staphylococcus hominis cultures in a post lobectomy patient. A case report

Monaldi Arch Chest Dis. 2018 Feb 26;88(1):885. doi: 10.4081/monaldi.2018.885.

Abstract

Raoultella Ornithinolytica (RO) is an encapsulated, Gram- negative, nonmotile aerobic rob which was reclassified from Klepsiella genus belonging in the family of Enterobacteriaceae. It is a rare human infection and few cases have been reported in post thoracotomy patients. Here we present a case of a left lower lobectomy patient that was complicated by pleural effusion and high fever with positive sputum cultures of Raoultella Ornithinolytica and positive pleural fluid cultures of Staphylococcus hominis. It is related with aquatic life poisoning. There are few cases reported and even fewer postoperatively. The infection is rare in human therefore the bacteria is still underreported.

Keywords: Raoultella Ornithinolytica; Staphylococcus hominis; lobectomy; lung cancer; thoracic surgery..

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / complications
  • Carcinoma, Non-Small-Cell Lung / surgery
  • Ciprofloxacin / administration & dosage
  • Ciprofloxacin / therapeutic use
  • Enterobacteriaceae / drug effects
  • Enterobacteriaceae / isolation & purification*
  • Enterobacteriaceae Infections / drug therapy
  • Enterobacteriaceae Infections / microbiology*
  • Humans
  • Male
  • Meropenem / administration & dosage
  • Meropenem / therapeutic use
  • Pleural Effusion / drug therapy
  • Pleural Effusion / microbiology
  • Postoperative Complications / microbiology
  • Sputum / microbiology
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / microbiology*
  • Staphylococcus hominis / drug effects
  • Staphylococcus hominis / isolation & purification*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin
  • Meropenem