title: Cholangitis with septic shock caused by Raoultella planticola.
abstract: Raoultella planticola (formerly Klebsiella planticola) is a Gram-negative bacterium that has been rarely reported in association with human infection. Here we describe a case of cholangitis complicated with septic shock caused by R. planticola in an immunocompromised patient with advanced cancer who underwent endoscopic retrograde cholangiopancreatography to extract common bile duct stones. The infection was cleared by piperacillin-tazobactam treatment.
authors.affiliation: Center for Clinical Infectious Diseases, Jichi Medical University, Tochigi, Japan.
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Yokota
authors.affiliation: Center for Clinical Infectious Diseases, Jichi Medical University, Tochigi, Japan.
authors.forename: Harumi
authors.initials: H
authors.lastname: Gomi
authors.affiliation: Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Miura
authors.affiliation: Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Sugano
authors.affiliation: Center for Clinical Infectious Diseases, Jichi Medical University, Tochigi, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Morisawa
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002761:Cholangitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009369:Neoplasms / Q000150:complications / Q000188:drug therapy; D010397:Penicillanic Acid / Q000008:administration & dosage / Q000031:analogs & derivatives; D010878:Piperacillin / Q000008:administration & dosage; D000077725:Piperacillin, Tazobactam Drug Combination; D012772:Shock, Septic / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000077725:Piperacillin, Tazobactam Drug Combination; D010397:Penicillanic Acid; D010878:Piperacillin