Abstract
Raoultella ornitholytica, an environmental organism, has only recently been reported as a cause of infections in humans, and is associated mainly with bacteraemia in elderly patients. Carbapenem resistance is unusual in Raoultella spp. We describe the first paediatric case of blaNDM-1 Raoultella ornitholytica bacteraemia in a preterm neonate that developed three days after hospitalisation. This case report discusses a rare organism that had an unexpected susceptibility profile and caused bacteraemia in a neonate. Treatment options are explored.
Highlights
Raoultella spp are usually found in aquatic environments, were originally categorised within the genus Klebsiella and, following DNA-DNA hydridisation studies and sequence analysis of the 16S rRNA gene, K. planticola and K. ornitholytica were moved into a separate genus, Raoultella.[1]
We describe the first neonate with bacteraemia caused by blaNDM-1 Raoultella ornitholytica, which has only recently been detected in pus from adults.[9,10]
The most common infection caused by R. ornitholytica is bacteraemia
Summary
First report of neonatal bacteraemia caused by blaNDM-1 Raoultella ornithinolytica. Raoultella ornitholytica, an environmental organism, has only recently been reported as a cause of infections in humans, and is associated mainly with bacteraemia in elderly patients. Carbapenem resistance is unusual in Raoultella spp. We describe the first paediatric case of blaNDM-1 Raoultella ornitholytica bacteraemia in a preterm neonate that developed three days after hospitalisation. This case report discusses a rare organism that had an unexpected susceptibility profile and caused bacteraemia in a neonate.
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