• Infect Dis (Lond) · Jan 2016

    Infections on the rise: Raoultella spp., clinical and microbiological findings from a retrospective study, 2010-2014.

    • Matteo Boattini, André Almeida, Catarina Cardoso, Cristiano Silva Cruz, Catarina Machado, Zsófia Vesza, Valentina Tosatto, Dionísio Maia, Sara Cardoso, Margarida Pinto, Rita Barata Moura, Teresa Garcia, and António Sousa Guerreiro.
    • a Internal Medicine Department, Hospital Santa Marta , Centro Hospitalar de Lisboa Central , Lisboa , Portugal.
    • Infect Dis (Lond). 2016 Jan 1; 48 (1): 87-91.

    AbstractWe performed a retrospective analysis of clinical and laboratory data over 5 years in a tertiary centre to assess clinical and microbiological characteristics of patients with Raoultella spp. infection. Raoultella spp. were deemed responsible for clinical infections in 57 patients (R. planticola, n = 32 and R. ornithinolytica, n = 25). The most prevalent diagnoses for R. planticola were cystitis (50%; n = 16) followed by bacteraemia and pneumonia (9.4%; n = 3); for R. ornithinolytica, cystitis (36%; n = 9) followed by pneumonia (24%; n = 6). Immunodeficiency was present in 18 patients (56.3%) with R. planticola and in 16 patients (64%) with R. ornithinolytica infection. Of these, 55.6% and 37.5% had diabetes and 27.8% and 18.% were solid organ transplant recipients, respectively. All isolates were sensitive to third-generation cephalosporins, fluoroquinolones and aminoglycosides. Mortality of infections with R. planticola (n = 5; 15.6%) was higher than for R. ornithinolytica (n = 2; 8.0%), but the difference was not statistically significant.

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