Infection and Chemotherapy : Official Journal of the Korean Society of Infectious Diseases

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A Case of Severe Cholangitis Caused by Raoultella planticola in a Patient with Pancreatic Cancer

Jae Hyoung Lee¹, Won Suk Choi², Seung Hun Kang¹, Dae Woong Yoon¹, Dae Won Park², Ja Seol Koo¹, and Jai Hyun Choi¹

¹Division of Gastroenterology, and ²Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea

Vol.44 Num.3 (p210~212)

While Raoultella planticola is a rare cause of human infection, we experienced a case of severe cholangitis caused by R. planticola . A 75-year-old male patient with cancer of the pancreatic head was admitted and found to have cholangitis. Following performance of percutaneous transhepatic biliary drainage for decompression and initiation of empirical antibiotics with cefotaxime and metronidazole. R. planticola , which was susceptible to cefotaxime, was isolated from both bile and blood. Despite administration of prompt and appropriate antibiotic therapy, the patient died ¹0 days after admission. We herein describe the first case of cholangitis caused by infection with R. planticola.

Keywords : Raoultella planticola , Cholangitis, Sepsis