Rahnella aquatilis bacteremia from a suspected urinary source.
A 76-year-old male with prostatic hyperplasia presented with acute pyelonephritis. Blood cultures yielded Rahnella aquatilis. Treatment with intravenous followed by oral levofloxacin resulted in cure. Important characteristics of this organism include its biochemical similarities to Enterobacter agglomerans, its apparent ability to cause bacteremia from a renal focus, and its response to quinolone therapy.
Tash
Kaley
K
Faculty of Arts and Sciences, Harvard University, Cambridge, MA 02138, USA. tash@fas.harvard.edu
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000652:urine; D006801:Humans; D007262:Infusions, Intravenous; D064704:Levofloxacin; D008297:Male; D008826:Microbial Sensitivity Tests; D015242:Ofloxacin / Q000008:administration & dosage / Q000627:therapeutic use; D011470:Prostatic Hyperplasia / Q000150:complications*; D011704:Pyelonephritis / Q000382:microbiology* / Q000652:urine; D020638:Rahnella / Q000187:drug effects / Q000302:isolation & purification
D000900:Anti-Bacterial Agents; D064704:Levofloxacin; D015242:Ofloxacin