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