Pelvic cellulitis caused by Raoultella planticola in a neutropenic patient

J Infect Chemother. 2019 Apr;25(4):298-301. doi: 10.1016/j.jiac.2018.09.013. Epub 2018 Oct 25.

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: Acute myeloid leukaemia; Cellulitis; Myeloid sarcoma; Neutropenia; Raoultella planticola.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Cellulitis / complications
  • Cellulitis / diagnosis
  • Cellulitis / drug therapy
  • Cellulitis / microbiology*
  • Chemotherapy-Induced Febrile Neutropenia / complications*
  • Chemotherapy-Induced Febrile Neutropenia / diagnosis
  • Chemotherapy-Induced Febrile Neutropenia / etiology
  • Enterobacteriaceae / isolation & purification*
  • Enterobacteriaceae Infections / complications
  • Enterobacteriaceae Infections / diagnosis
  • Enterobacteriaceae Infections / drug therapy
  • Enterobacteriaceae Infections / microbiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Pelvis / diagnostic imaging
  • Sarcoma, Myeloid / drug therapy
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents