title: [Sepsis caused by Raoultella ornithinolytica in an immunocompetent patient].
abstract: Raoultella ornithinolytica is a species of gram-negative encapsulated and aerobic bacteria belonging to the family Enterobacteriaceae and is mainly found in fish. The most distinctive feature of this bacterium is the ability to convert histidine to histamine; therefore, the consumption of decomposing fish infected by R. ornithinolytica causes rashes, diarrhea, flushing, sweating and vomiting. This food poisoning is also called histamine fish poisoning; however, human infections with R. ornithinolytica are extremely rare and have so far only affected patients with diseases suppressing the immune system. The current case report describes for the first time sepsis with evidence of bloodstream infection by R. ornithinolytica in an immunocompetent male patient and the successful antibiotic treatment.
authors.affiliation: Asklepios Südpfalzklinik Kandel, Luitpoldstr. 14, 76870, Kandel, Deutschland. m.sueifan@asklepios.com.
authors.forename: M
authors.initials: M
authors.lastname: Sueifan
authors.affiliation: Asklepios Südpfalzklinik Kandel, Luitpoldstr. 14, 76870, Kandel, Deutschland.
authors.forename: V
authors.initials: V
authors.lastname: Moog
authors.affiliation: Asklepios Südpfalzklinik Kandel, Luitpoldstr. 14, 76870, Kandel, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Rau
authors.affiliation: Asklepios Südpfalzklinik Kandel, Luitpoldstr. 14, 76870, Kandel, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Eichenauer
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D004755:Enterobacteriaceae / Q000187:drug effects; D004756:Enterobacteriaceae Infections / Q000188:drug therapy* / Q000382:microbiology; D005517:Foodborne Diseases / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009638:Norepinephrine / Q000627:therapeutic use; D017747:Seafood; D018805:Sepsis / Q000188:drug therapy* / Q000382:microbiology; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014662:Vasoconstrictor Agents; D009638:Norepinephrine
keywords: Antibiogram; Bacteremia; Cephalosporins; Enterobacteriaceae; Histamine
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