Fatal pancreatic pseudocyst co-infected by Raoultella planticola: an emerging pathogen

Authors

  • Fernando Peixoto Ferraz de Campos University of São Paulo. Hospital Universitário. Internal Medicine Division
  • Tiago Borges Guimarães University of São Paulo. Faculty of Medicine. Anatomic Pathology Department
  • Silvana Maria Lovisolo University of São Paulo. Hospital Universitário. Anatomic Pathology Service

DOI:

https://doi.org/10.4322/acr.2016.034

Keywords:

Enterobacteriaceae Infections, Pancreatic Diseases, Peritonitis, Autopsy

Abstract

Raoultella planticola is an aerobic Gram-negative bacterium belonging to the Enterobacteriaceae family. Initially identified in the 1980s, its pathogenic potential was further recognized when the first case of bacteremia was reported. Since then, only a few infections caused by this pathogen have been described. Although considered an opportunistic agent, fatal outcomes are associated with the infection by this pathogen, since it is more prevalent among the patients with immunodeficiency. The authors report the case of a middle-aged man diagnosed with end-stage renal disease and alcoholic pancreatitis, who was admitted to the emergency department with septic shock. Physical examination disclosed peritoneal irritation and a laparotomy was undertaken. Purulent peritonitis was found as well as a retroperitoneal abscess, which was drained. The postoperative period was troublesome, and the patient died. The autopsy showed a ruptured, infected pancreatic cyst and purulent peritonitis, among other findings. The culture of the peritoneal fluid and two blood sample sets were positive for R. planticola. The authors call attention to the importance of this emerging pathogen associated with severe gastrointestinal infections

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Published

2016-06-11

How to Cite

Campos, F. P. F. de, Guimarães, T. B., & Lovisolo, S. M. (2016). Fatal pancreatic pseudocyst co-infected by Raoultella planticola: an emerging pathogen. Autopsy and Case Reports, 6(2), 27-31. https://doi.org/10.4322/acr.2016.034

Issue

Section

Article / Autopsy Case Report