Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature

Abstract Background In recent years, Raoultella ornithinolytica (R. ornithinolytica) have attracted clinical attention as a new type of pathogen. A wide range of infections with these germs is reported, and commonly found in urinary tract infections, respiratory infections, and bacteremia. Case pres...

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Main Authors: Qiuxia Huang, Jihong Zhang, Gang Liao
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-024-09234-y
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author Qiuxia Huang
Jihong Zhang
Gang Liao
author_facet Qiuxia Huang
Jihong Zhang
Gang Liao
author_sort Qiuxia Huang
collection DOAJ
description Abstract Background In recent years, Raoultella ornithinolytica (R. ornithinolytica) have attracted clinical attention as a new type of pathogen. A wide range of infections with these germs is reported, and commonly found in urinary tract infections, respiratory infections, and bacteremia. Case presentation We report the case of an elderly woman with liver abscess, choledocholithiasis and cholangitis, who developed gastric fistula and abdominal abscess after underwent choledocholithotomy, and R. ornithinolytica were isolated from the abdominal drainage fluid. The patient was treated with meropenem and levofloxacin and had a good outcome. Conclusions To the best of our knowledge, case of isolating R. ornithinolytica from a patient with non-viscerally abdominal abscess was extremely rare. We share a case of a woman with non-viscerally abdominal abscess secondary to postoperative gastric fistula, R. ornithinolytica was isolated from the patient’s pus, and the pathogenic bacteria may originate from the gastrointestinal tract. Based on this case, We should be cautious that invasive treatment may greatly increase the probability of infection with this pathogenic bacterium.
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spelling doaj.art-2b6a39d1684c4ec1962bae726d4d68b92024-03-31T11:11:37ZengBMCBMC Infectious Diseases1471-23342024-03-012411610.1186/s12879-024-09234-yAbdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literatureQiuxia Huang0Jihong Zhang1Gang Liao2The Central Hospital of ShaoyangThe Central Hospital of ShaoyangThe Central Hospital of ShaoyangAbstract Background In recent years, Raoultella ornithinolytica (R. ornithinolytica) have attracted clinical attention as a new type of pathogen. A wide range of infections with these germs is reported, and commonly found in urinary tract infections, respiratory infections, and bacteremia. Case presentation We report the case of an elderly woman with liver abscess, choledocholithiasis and cholangitis, who developed gastric fistula and abdominal abscess after underwent choledocholithotomy, and R. ornithinolytica were isolated from the abdominal drainage fluid. The patient was treated with meropenem and levofloxacin and had a good outcome. Conclusions To the best of our knowledge, case of isolating R. ornithinolytica from a patient with non-viscerally abdominal abscess was extremely rare. We share a case of a woman with non-viscerally abdominal abscess secondary to postoperative gastric fistula, R. ornithinolytica was isolated from the patient’s pus, and the pathogenic bacteria may originate from the gastrointestinal tract. Based on this case, We should be cautious that invasive treatment may greatly increase the probability of infection with this pathogenic bacterium.https://doi.org/10.1186/s12879-024-09234-yRaoultella ornithinolyticaCholedocholithotomyPostoperative gastric fistulaNon-viscerally abdominal abscess
spellingShingle Qiuxia Huang
Jihong Zhang
Gang Liao
Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature
BMC Infectious Diseases
Raoultella ornithinolytica
Choledocholithotomy
Postoperative gastric fistula
Non-viscerally abdominal abscess
title Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature
title_full Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature
title_fullStr Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature
title_full_unstemmed Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature
title_short Abdominal abscess caused by Raoultella ornithinolytica secondary to postoperative gastric fistula: case report and review of literature
title_sort abdominal abscess caused by raoultella ornithinolytica secondary to postoperative gastric fistula case report and review of literature
topic Raoultella ornithinolytica
Choledocholithotomy
Postoperative gastric fistula
Non-viscerally abdominal abscess
url https://doi.org/10.1186/s12879-024-09234-y
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AT jihongzhang abdominalabscesscausedbyraoultellaornithinolyticasecondarytopostoperativegastricfistulacasereportandreviewofliterature
AT gangliao abdominalabscesscausedbyraoultellaornithinolyticasecondarytopostoperativegastricfistulacasereportandreviewofliterature