Infect Chemother.  2012 Jun;44(3):210-212. 10.3947/ic.2012.44.3.210.

A Case of Severe Cholangitis Caused by Raoultella planticola in a Patient with Pancreatic Cancer

• Lee JH
• Choi WS
• Kang SH
• Yoon DW
• Park DW
• Koo JS
• Choi JH

• KMID: 2170375
• DOI: http://doi.org/10.3947/ic.2012.44.3.210

Abstract

While Raoultella planticola is a rare cause of human infection, we experienced a case of severe cholangitis caused by R. planticola. A 75-year-old male patient with cancer of the pancreatic head was admitted and found to have cholangitis. Following performance of percutaneous transhepatic biliary drainage for decompression and initiation of empirical antibiotics with cefotaxime and metronidazole. R. planticola, which was susceptible to cefotaxime, was isolated from both bile and blood. Despite administration of prompt and appropriate antibiotic therapy, the patient died 10 days after admission. We herein describe the first case of cholangitis caused by infection with R. planticola.

Keyword

Raoultella planticola; Cholangitis; Sepsis

MeSH Terms

Aged
Anti-Bacterial Agents
Bile
Cefotaxime
Cholangitis
Decompression
Drainage
Head
Humans
Male
Metronidazole
Pancreatic Neoplasms
Sepsis
Anti-Bacterial Agents
Cefotaxime
Metronidazole

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