A rare case of Raoultella planticola urinary tract infection. A case report with literature review

Kozioł Magdalena, Lewicki Marcin, Pawlicki Mateusz , Łopuszyńska Anna, Krasa Aleksandra, Piekarska Ewa, Krasowska Danuta. A rare case of Raoultella planticola urinary tract infection. A case report with literature review. Journal of Education, Health and Sport. 2020;10(8):470‑475. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.08.057 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.08.057 https://zenodo.org/record/4009554 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 10.08.2020. Revised: 15.08.2020. Accepted: 31.08.2020. A rare case of Raoultella planticola urinary tract infection. A case report with literature review Magdalena Kozioła, Marcin Lewickib, Mateusz Pawlickia , Anna Łopuszyńskaa, Aleksandra Krasaa, Ewa Piekarskaa, Danuta Krasowskac aStudent Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080, Poland; bDepartment of Epidemiology and Clinical Research Methodology of the Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080, Poland; cStudents’ Scientific Association at the Department of Dermatology, Venerology and Pediatric Dermatology, Medical University of Lublin, ul. Staszica 11, Lublin 20-081, Poland. Corresponding author: Magdalena Kozioł, magdalena.koziol@icloud.com ORCID ID: Magdalena Kozioł https://orcid.org/0000-0002-8671-5968, magdalena.koziol@icloud.com Marcin Lewicki https://orcid.org/0000-0003-1906-9326, lewicki-marcin@wp.pl Aleksandra Krasa https://orcid.org/0000-0002-0733-202X,ola.AK62@gmail.com Danuta Krasowska https://orcid.org/0000-0002-3015-1120, dana.krasowska@gmail.com Mateusz Pawlicki https://orcid.org/0000-0001-8318-6573, pawlak32@gmail.com Anna Łopuszyńska https://orcid.org/0000-0001-5133-4180, lopuszynskaania@gmail.com Ewa Piekarska https://orcid.org/0000-0002-4954-379X; piekarskaewaa@gmail.com Abstract: Urine infections represent 40-50% of all infections in hospitalized patients. The most common uropathogens are E.coli, S.saprophitycus, and less commonly Enterobacteriaceae, such as Proteus mirabilis and Klebsiella pneumoniae. The spectrum of microorganisms isolated in hospital conditions may be wider. Raoultella planticola is a rare cause of human infections, so far only few cases of ZUM with this etiology have been described. A 56-years-old patient, with a history of cardiac disease, with exacerbation of chronic kidney disease, was admitted to the Department of Internal Medicine. The reason for admission was general deterioration. Many abnormalities in laboratory tests were detected. The doctors' attention was focused on the significant bacteriuria. Moreover, the patient reported dysuria symptoms. Material for urine microbiological culture was taken and empirical antibiotic therapy with ciprofloxacin started. The obtained result of urine culture allowed to identify the bacteria by R. planticola. As a result of the applied treatment, the patient's condition improved. An increasing number of infections with R. planticolla etiology is observed. The bacterium may lead to infections in many systems. The group of patients at risk of the disease includes people with renal dysfunction, who are immunosuppressed. Infections of R. planticolla etiology are usually characterized by good antibiotic response and positive prognosis. Key words: Raoultella planticola; urine infections; resistance