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