Joint infection due to Raoultella planticola: first report

Abstract

The genus Raoultella has been separated from the genus Klebsiella in 2001. Two main species are responsible for human infections: R. ornithinolytica and R. planticola. The most frequent infections due to R. planticola include cystitis, pneumonia and bacteremia (mostly in immunocompromised hosts). To date, no joint or bone infection has been reported. We describe the first case of septic arthritis due to R. planticola following an arthroscopy with intra-articular injection of corticosteroids. Evolution was favorable after arthroscopic lavage and antibiotic therapy with quinolones. Raoultella planticola has been described rarely in human infection. It is mainly deemed responsible for cystitis, pneumonia and bacteremia (mostly in immunocompromised hosts) [1-3]. To our knowledge no case of bone or joint infection has been reported. We described here the first case of infective arthritis due to R. planticola involving a native knee joint following synovectomy and intra-articular injection of corticosteroids during arthroscopy.

The first case of Raoultella planticola infective endocarditis in a 4 year old child

“…In this report, the literature was also reviewed for any case reports about Raoultella planticola , and all case reports found were reviewed [[5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38]]. Pediatric cases are summarized in Table 1 [[5], [6], [7], [8], [9]].…”

Neonatal septicemia caused by a rare pathogen: Raoultella planticola - a report of four cases

“…R.planticola infections in different patterns (such as sepsis, biliary tract infection, pelvic cellulitis, urinary tract infection, etc.) seemed to occur mainly in immunocompromised patients [1,7,8]. Chun et al [9] retrospectively reviewed 20 R.planticola bacteremia cases with a nosocomial infection rate of 0.08%(20/26208) and found that of the 17 (85%)patients had underlying malignant conditions.…”

A Rare Case of Joint Infection due to Raoultella planticola

“…Enteric translocation and invasive medical procedures are the main potential sources of infection caused by this organism. [4][5][6][7] The mechanism underlying the mode of action of R. planticola is not clearly understood. However, several reports have indicated that R. planticola is commonly associated with gastrointestinal, urinary tract, and joint infections.…”