Raoultella planticola Bacteremia in a Patient with Early Gastric Cancer

Intern Med. 2018 May 15;57(10):1469-1473. doi: 10.2169/internalmedicine.9611-17. Epub 2017 Dec 27.

Abstract

The patient was an 81-year-old man who was found to have bacteremia due to Raoultella planticola, which might have entered the circulation through the bile duct during the passing of a gallbladder stone. In the present case, we screened for malignancies because most cases of R. planticola bacteremia occur after trauma, invasive procedures, or in patients with malignancy (70.6%). Early gastric cancer was detected. Although the association between R. planticola bacteremia and malignancy remains speculative in the present case, it may be useful to scrutinize similar cases involving low-virulence bacteremia for possible malignancies or immune conditions.

Keywords: Raoultella planticola; bacteremia; gastric cancer; malignancy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / diagnosis*
  • Early Diagnosis
  • Enterobacteriaceae / pathogenicity
  • Enterobacteriaceae Infections / complications
  • Enterobacteriaceae Infections / diagnosis*
  • Enterobacteriaceae Infections / drug therapy
  • Humans
  • Male
  • Stomach Neoplasms / diagnosis*
  • Stomach Neoplasms / microbiology
  • Virulence

Substances

  • Anti-Bacterial Agents