title: Acute prostatitis caused by Raoultella planticola in a renal transplant recipient: a novel case.
abstract: We present a unique case of acute bacterial prostatitis caused by a very rare human pathogen, Raoultella planticola, in a renal allograft recipient 3.5 months post transplantation. Only a few cases of human infection by this pathogen have been reported worldwide. The present study reports the case of a 67-year-old man who was admitted to our transplant unit 3.5 months post transplantation with fever, dysuria, suprapubic pain, symptoms and signs of acute prostatitis, and elevated markers of inflammation and prostate-specific antigen. R. planticola was isolated in the urine culture. The patient was treated with ciprofloxacin (based on the antibiogram) and had a full recovery, with satisfactory renal function. To the best of our knowledge, this is not only the first reported case of R. planticola prostatitis, but also the first report of such an infection in a solid organ transplant recipient or in a patient on immunosuppressive medication.
authors.affiliation: First Department of Surgery and Transplant Unit, Evangelismos General Hospital, Athens, Greece.
authors.forename: M
authors.initials: M
authors.lastname: Koukoulaki
authors.forename: A
authors.initials: A
authors.lastname: Bakalis
authors.forename: V
authors.initials: V
authors.lastname: Kalatzis
authors.forename: E
authors.initials: E
authors.lastname: Belesiotou
authors.forename: V
authors.initials: V
authors.lastname: Papastamopoulos
authors.forename: A
authors.initials: A
authors.lastname: Skoutelis
authors.forename: S
authors.initials: S
authors.lastname: Drakopoulos
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D006088:Gram-Negative Aerobic Bacteria / Q000145:classification*; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011472:Prostatitis / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin
keywords: Raoultella planticola; acute prostatitis; gram-negative bacteria; immunosuppression; renal transplantation