Abstract
Raoultella planticola is a gram-negative, aerobic, non-motile bacterium found mostly in the environment. There is a high prevalence in both the soil and in water [1]. There are only a handful of case reports of Raoultella planticola causing symptomatic infections in human beings [2]. Most of the reported infections occurred in immunocompromised adult patients with multiple co-morbidities. Infection in immunocompromised patients is associated with a poor prognosis [3]. Of the available literature reviewed, there are only two cases of Raoultella planticola causing a symptomatic Urinary Tract Infection (UTI) in pediatric patients. The first was a case of a 16-month-old male with a history of rhabdomyosarcoma of the bladder neck and cystitis and the other a UTI in otherwise healthy 2-month-old female [2,4]. We are presenting a case of a healthy three-year-old female with a symptomatic UTI caused by Raoultella planticola.
Highlights
Raoultella planticola is a gram-negative, aerobic, non-motile bacterium found mostly in the environment
We are presenting a case of a healthy three-year-old female with a symptomatic Urinary Tract Infection (UTI) caused by Raoultella planticola
Raoultella planticola is a non-motile, aerobic, encapsulated gram-negative rod often difficult to distinguish from Klebsiella [1]
Summary
Raoultella planticola is a gram-negative, aerobic, non-motile bacterium found mostly in the environment. Mom reports that our patient’s abdominal pain persisted into week two despite treatment, repeat urine dipstick was obtained, which showed a SG 1.025, pH 6.0, trace LE, nitrites, protein, glucose, blood were all negative During this period our patient had two episodes of vulvovaginitis that were treated with topical miconazole nitrate. Her intermittent abdominal and back pain persisted so another urine dipstick was obtained four months into symptom onset at that time SG 1.010, pH 6.5, small LE, nitrite positive, with trace blood, protein and glucose were negative.
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