Al-Sawaf O, Garcia-Borrega J, Vehreschild J J, Thelen P, Fätkenheuer G, Shimabukuro-Vornhagen A, Kochanek M, Böll B
Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany; Department I of Internal Medicine, Critical Care Medicine, University Hospital of Cologne, Cologne, Germany.
Department I of Internal Medicine, Division of Infectious Diseases, University Hospital of Cologne, Cologne, Germany; German Centre for Infection Research (DZIF), Partner Site Bonn - Cologne, Cologne, Germany.
J Infect Chemother. 2019 Apr;25(4):298-301. doi: 10.1016/j.jiac.2018.09.013. Epub 2018 Oct 25.
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.
植生拉乌尔菌是肠杆菌科中的一种革兰氏阴性、有荚膜的需氧细菌。它主要被描述为肺炎和胃肠道感染病例中的病原体。在此，我们描述一例髓系肉瘤诱导治疗后中性粒细胞减少患者发生严重盆腔蜂窝织炎的病例。该患者发生了感染性休克，经抗生素治疗成功治愈。本文提供了一篇文献综述，以便将该病例与之前关于植生拉乌尔菌的报告进行对比。本报告强调，在中性粒细胞减少患者感染的临床管理中，认识不常见病原体至关重要。
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