title: Necrotizing fasciitis involving the chest and abdominal wall caused by Raoultella planticola.
abstract: BACKGROUND
  Raoultella planticola was originally considered to be a member of environmental Klebsiella. The clinical significance of R. planticola is still not well known.
  
  
  METHODS
  We describe the first case of necrotizing fasciitis involving the chest and abdominal wall caused by R. planticola. The identity of the organism was confirmed using 16S rRNA sequencing. The patient was successfully treated with the appropriate antibiotics combined with operative drainage and debridement.
  
  
  CONCLUSIONS
  R. planticola had been described as environmental species, but should be suspected in extensive necrotizing fasciitis after minor trauma in mild to moderate immunocompromised patients.
authors.affiliation: Department of Internal Medicine, Korea University Medical College, Seoul, Korea.
authors.forename: Si-Hyun
authors.initials: SH
authors.lastname: Kim
authors.forename: Kyoung Ho
authors.initials: KH
authors.lastname: Roh
authors.forename: Young Kyung
authors.initials: YK
authors.lastname: Yoon
authors.forename: Dong Oh
authors.initials: DO
authors.lastname: Kang
authors.forename: Dong Woo
authors.initials: DW
authors.lastname: Lee
authors.forename: Min Ja
authors.initials: MJ
authors.lastname: Kim
authors.forename: Jang Wook
authors.initials: JW
authors.lastname: Sohn
mesh_terms: D034861:Abdominal Wall / Q000382:microbiology / Q000473:pathology*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D003646:Debridement; D004755:Enterobacteriaceae / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D017422:Sequence Analysis, DNA; D013909:Thorax / Q000382:microbiology / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S