Raoultella planticola and urinary tract infection: The first laboratory-confirmed case in an HIV-infected patient in Mali

Raoultella planticola is a Gram-negative, aerobic, non-motile bacterium, abundant in the environment, but rarely associated with pathology in humans. Notably, few urinary tract infections caused by R. planticola have been reported. To our knowledge, we are presenting here the first case of urinary t...

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Published in:Journal of infection in developing countries 2022-05, Vol.16 (5), p.909-912
Main Authors: Cissoko, Yacouba, Maiga, Aminata, Dabitao, Djeneba, Dicko, Mariam S, Koné, Drissa, Konaté, Issa, Dembele, Jean-Paul, Sidibe, Assetou F, Maiga, Ibrahima I, Dao, Sounkalo
Format: Article
Language:English
Subjects:
Bacterial infections
Case reports
Enterobacteriaceae
Escherichia coli
Female
Gram-Negative Bacteria
Humans
Mali
Middle Aged
Tuberculosis
Urinary tract diseases
Urinary tract infections
Urinary Tract Infections - complications
Urinary Tract Infections - diagnosis
Urinary Tract Infections - drug therapy
Urogenital system
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Summary:Raoultella planticola is a Gram-negative, aerobic, non-motile bacterium, abundant in the environment, but rarely associated with pathology in humans. Notably, few urinary tract infections caused by R. planticola have been reported. To our knowledge, we are presenting here the first case of urinary tract infection caused by R. planticola in an HIV-infected individual. It is a 50-year-old female, with a history of HIV-1 infection treated for three years. At admission, her CD4 count was 70 cells/mL, and the main complaints were severe diarrhea and cough. She was diagnosed and treated for pulmonary tuberculosis (TB) and E. Coli enteritis. Initially, we observed a good evolution. However, on day 21 of hospitalization, she presented with fever and dysuria. Urinalysis revealed the presence of R. planticola with resistance to multiple antibiotics. We also detected that she has an HIV-2 but not HIV-1 infection. After receiving the right regimen, she was confirmed cured of her bacterial infections.
ISSN:1972-2680
2036-6590
1972-2680
DOI:10.3855/jidc.15688