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ISOLATION OF A RARE BACTERIUM, RAOULTELLA (KLEBSIELLA) ORNITHINOLYTICA, AFTER CHOLECYSTECTOMY: CASE REPORT

Yıl 2016, Cilt: 11 Sayı: 1, 0 - 0, 08.11.2016

Öz

 

ABSTRACT

Bacteria of the Klebsiella species are gram-negative aerobic bacilli which are members of the family Enterobacteriaceae.  K.ornithinolytica has been reported to cause the disease, Histamine Fish Fever characterized by excessive histamine release,  in humans after ingestion of raw fish. In this case we aimed to discuss a rare case who was reoperated with the suspicion of colon perforation after elective cholecystectomy and Gr(-) R.ornithinolytica was isolated from the intraabdominal fluid.

After elective cholecystectomy gaita and pus were observed on the abdominal drainage tubes of the 62 years old male patient. He had erythema and maculopapular rash on his face and upper extremities. His intraabdominal fluid cultured R.ornithinolytica. After treatment with imipenem the patient healed and he was discharged to the ward on the 3. postoperative day. 

In conclusion,  this bacterium should be kept  in mind in patients with histamine release symptoms such as maculopapular rash. Thus we can avoid delays in the treatment and use of inappropriate antibiotics.

Key words: Raoultella (Klebsiella) ornithinolytica, Histamine Fish Fever, elective cholecystectomy

Kaynakça

  • Boye K, Hansen DS. Sequencing of 16s rDNA of Klebsiella: taxonomic relations within the genus and to other Enterobacteriaceae. Int J Med Microbiol 2003;292(7-8): 495-503
  • Hansen DS, Aucken HM, Abiola T, Podschun R. Recommended test panel for differentiation os Klebsiella species on the basis of a trilateral interlaboratory evaluation of 18 biochemical tests. J Clin Microbiol 2004; 42(8): 3665-3669
  • Sakazaki R, Tamura K, Kosako Y, Yoshizaki E. Klebsiella ornithinolytica sp. nov., formerly known as ornitine-positive Klebsiella oxytoc. Current Microbiology 1989; 18: 201-206
  • Drancourt M, Bollet C, Carta A, Rousselier P. Phylogenetic analyses of Klebsiella and Raoultella gen. nov., with description of Raoultella ornithinolytica comb. nov., Raoultella terrigena comd. nov. and Raoltella planticola comb. nov. Int J Syst Evol Microbiol 2001; 51: 925-932
  • Kanki M, Yoda T, Tsukamoto T, Shibata T. Klebsiella pneumoniae produces no histamine: Raoultella planticola and Raoultella ornithinolytica strains are histamine producers. Appl Environ Microbiol 2002; 68: 3462-3466
  • Sandal G, Ozen M Fatal Raoutella ornithinolytica sepsis and purpura fulminans in a newborn. Indian J Paediatr Dermatol 2014; 15(1):24-26
  • Hadano Y, Tsukahara M, Ito K, Suzuki J, Kawamura I, Kurai H. Raoultella ornithiolytica bacteremia in cancer patient: Report of three cases. Intern Med 2012; 51: 3193-3195
  • Becker K, Soutwick K, Reardon J, Berg R, MacCormark JN. Histamine poisoning associated with eating tuna burgers. JAMA2001; 285(10):1327-1330
  • Lehloenya R, Christians S. A case of chronic urticaia complicated by Raoultella ornithinolytica urinary tract infection, bronchospasm and angioedema. World Allergy Organ 2012; 5(Suppl 2): 204
  • Morais PV, Daporta TM, Bao AF, Campello MG. Enteric fever-like syndrome caused by Raoultella ornithinolytica(Klebsiella ornithinolytica). J Clin Microbiol 2009; 47(3): 868-869
  • Deeb SL, Bajaj J, Bhargava S, Alcid D, Pichumoni CS. Acute suppuration of the pancreatic duct in a patient with tropical pancreatiris. Case Rep Gastroenterol 2008; 2(1): 27-32
  • Vos B, Laureys M. Giant renal cyst as cause of colic obstruction. Rev Med Brux. 2009; 30: 107-109
  • Solak Y, Gul EE, Atalay H, Genc N, Tonbul HZ. A rare human infection of Raoultella ornithinolytica in a diabetic foot lesion. Ann Saudi Med 2011; 31(1): 93-94
  • Kim EJ, Seo MR, Park SK, Lee JW, Kim SY, Cho YK. A Case of Necrotizing Fasciitis Caused by Raoultella ornithinolytica. Infect Chemother 2010; 42(6): 411-414
  • Sener D, Cokhras H, Camcioglu Y, Akcakaya N, Cakir E. Raoultella infection causing fever of unknown origin. Pediatr Infect Dis J. 2011; 30(12):1122-1123
  • Mau N, Ross LA. Raoultella ornithinolytica bacteremia in an infant with visceral heterotaxy. Pediatr Infect Dis J 2010, 29(5): 477-478
  • Djeribi R, Bouchloukh W, Jouenne T, Menaa B. Characterization of bacterial biofilms formed on urinary catheters. Am J Infect Control 2012; 40(9): 854-859
  • Sibanda M. Primary peritonitis caused by Raoultella ornithinolytica in a53 year old man. JMM Case Reports 2014; 1:1-3

KOLESİSTEKTOMİ SONRASI NADİR İZOLE EDİLEN BİR BAKTERİ RAOULTELLA (KLEBSİELLA) ORNİTHİNOLYTİCA: OLGU SUNUMU

Yıl 2016, Cilt: 11 Sayı: 1, 0 - 0, 08.11.2016

Öz

ÖZET

Klebsiella türü bakteriler, Enterobacteriaceae familyasına ait Gr(-), aerobik basillerdir. K. ornithinolytica’nın insanlarda çiğ balık tüketilmesiyle, yüksek oranda histamin salınımına neden olarak  ‘Histamin balık ateşi’ adı verilen zehirlenme tablosunu yaptığı bildirmiştir. Burada farklı olarak elektif kolesistektomi sonrası kolon perforasyonu düşünülerek yeniden operasyona alınan ve operasyon sırasında batın içi materyalden alınan kültürde Gr(-) R. ornithinolytica tespit edilen bu nadir olgunun sunulması amaçlanmıştır.

Elektif kolesistektomi operasyonu sonrası,  takiplerinde batın drenlerinden pü ve gaita gelen, yüzde ve üst ekstremitelerde eritem ve makülopapüler döküntüleri oluşan 62 yaşında erkek hastada, batın içi kültürde R. ornithinolytica tespit edilmiş, imipenem tedavisi sonrası düzelen hasta 3.gün yoğun bakımdan servisine gönderilmiştir.

Sonuç olarak, histamin deşarjı ile ilgili ani makülopapüler döküntü ve diğer histamin salınımı bulgularının görüldüğü hastalarda bu bakteri akla getirilmelidir. Böylece gerek tedavide zaman kaybının önlenmesi gerekse antibiyotik direnci ile ilişkili olarak gereksiz kullanımın sınırlandırılması mümkün olabilir.

Anahtar kelimeler: Raoultella(Klebsiella) ornithiniolytica, Histamin balık ateşi, elektif kolesistektomi

Kaynakça

  • Boye K, Hansen DS. Sequencing of 16s rDNA of Klebsiella: taxonomic relations within the genus and to other Enterobacteriaceae. Int J Med Microbiol 2003;292(7-8): 495-503
  • Hansen DS, Aucken HM, Abiola T, Podschun R. Recommended test panel for differentiation os Klebsiella species on the basis of a trilateral interlaboratory evaluation of 18 biochemical tests. J Clin Microbiol 2004; 42(8): 3665-3669
  • Sakazaki R, Tamura K, Kosako Y, Yoshizaki E. Klebsiella ornithinolytica sp. nov., formerly known as ornitine-positive Klebsiella oxytoc. Current Microbiology 1989; 18: 201-206
  • Drancourt M, Bollet C, Carta A, Rousselier P. Phylogenetic analyses of Klebsiella and Raoultella gen. nov., with description of Raoultella ornithinolytica comb. nov., Raoultella terrigena comd. nov. and Raoltella planticola comb. nov. Int J Syst Evol Microbiol 2001; 51: 925-932
  • Kanki M, Yoda T, Tsukamoto T, Shibata T. Klebsiella pneumoniae produces no histamine: Raoultella planticola and Raoultella ornithinolytica strains are histamine producers. Appl Environ Microbiol 2002; 68: 3462-3466
  • Sandal G, Ozen M Fatal Raoutella ornithinolytica sepsis and purpura fulminans in a newborn. Indian J Paediatr Dermatol 2014; 15(1):24-26
  • Hadano Y, Tsukahara M, Ito K, Suzuki J, Kawamura I, Kurai H. Raoultella ornithiolytica bacteremia in cancer patient: Report of three cases. Intern Med 2012; 51: 3193-3195
  • Becker K, Soutwick K, Reardon J, Berg R, MacCormark JN. Histamine poisoning associated with eating tuna burgers. JAMA2001; 285(10):1327-1330
  • Lehloenya R, Christians S. A case of chronic urticaia complicated by Raoultella ornithinolytica urinary tract infection, bronchospasm and angioedema. World Allergy Organ 2012; 5(Suppl 2): 204
  • Morais PV, Daporta TM, Bao AF, Campello MG. Enteric fever-like syndrome caused by Raoultella ornithinolytica(Klebsiella ornithinolytica). J Clin Microbiol 2009; 47(3): 868-869
  • Deeb SL, Bajaj J, Bhargava S, Alcid D, Pichumoni CS. Acute suppuration of the pancreatic duct in a patient with tropical pancreatiris. Case Rep Gastroenterol 2008; 2(1): 27-32
  • Vos B, Laureys M. Giant renal cyst as cause of colic obstruction. Rev Med Brux. 2009; 30: 107-109
  • Solak Y, Gul EE, Atalay H, Genc N, Tonbul HZ. A rare human infection of Raoultella ornithinolytica in a diabetic foot lesion. Ann Saudi Med 2011; 31(1): 93-94
  • Kim EJ, Seo MR, Park SK, Lee JW, Kim SY, Cho YK. A Case of Necrotizing Fasciitis Caused by Raoultella ornithinolytica. Infect Chemother 2010; 42(6): 411-414
  • Sener D, Cokhras H, Camcioglu Y, Akcakaya N, Cakir E. Raoultella infection causing fever of unknown origin. Pediatr Infect Dis J. 2011; 30(12):1122-1123
  • Mau N, Ross LA. Raoultella ornithinolytica bacteremia in an infant with visceral heterotaxy. Pediatr Infect Dis J 2010, 29(5): 477-478
  • Djeribi R, Bouchloukh W, Jouenne T, Menaa B. Characterization of bacterial biofilms formed on urinary catheters. Am J Infect Control 2012; 40(9): 854-859
  • Sibanda M. Primary peritonitis caused by Raoultella ornithinolytica in a53 year old man. JMM Case Reports 2014; 1:1-3
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Bölüm Makaleler
Yazarlar

Aykut Urfalıoğlu

Gökçe Gişi

Mahmut Arslan Bu kişi benim

Arif Emre

Bora Bilal

Ömer Faruk Boran

Ayşe Balaban Bu kişi benim

Hafize Öksüz

Yayımlanma Tarihi 8 Kasım 2016
Gönderilme Tarihi 16 Mart 2015
Yayımlandığı Sayı Yıl 2016 Cilt: 11 Sayı: 1

Kaynak Göster

AMA Urfalıoğlu A, Gişi G, Arslan M, Emre A, Bilal B, Boran ÖF, Balaban A, Öksüz H. ISOLATION OF A RARE BACTERIUM, RAOULTELLA (KLEBSIELLA) ORNITHINOLYTICA, AFTER CHOLECYSTECTOMY: CASE REPORT. KSÜ Tıp Fak Der. Kasım 2016;11(1).