DOI: 10.12890/2023_003987
Raoultella ornithinolytica in a healthy, young person: rapidly progressive sinusitis with orbital and intracranial involvement
Authors
jhbaek@inha.ac.kr
Keywords
Raoultella ornithinolytica, Maxillary sinusitis, Orbital cellulitis, Abscess, MeningitisAbstract
Raoultella ornithinolytica is an encapsulated, Gram-negative, nonmotile, rod belonging to the Enterobacteriaceae family. Infections involving the gastrointestinal tract and the hepatopancreatobiliary system are most frequently reported, especially in immunocompromised patients. The authors present an unusual case of acute complicated sinusitis with orbital and intracranial involvement caused by R. ornithinolytica. The infection was rapidly progressive, even though the patient was a healthy, young person without any co-morbidities. The patient’s condition improved after antibiotic treatment and multiple ophthalmic and sinus surgeries.
References
- Hajjar R, Ambaraghassi G, Sebajang H, Schwenter F, Su S-H. Raoultella ornithinolytica: emergence and resistance. Infect Drug Resist 2020;13:1091–1104.
- Gore MR. Severe pansinusitis due to Raoultella ornithinolytica. Am J Infect Dis 2017;13:28–31.
- Singh M, Kaur I, Mundi DK, Kaur A. ENT infection caused by Raoultella ornithinolytica. Niger J Clin Pract 2017;20:914–917.
- Sibanda M. Primary peritonitis caused by Raoultella ornithinolytica in a 53-year-old man. JMM Case Rep 2014;1:e002634.
- Li Y, Qiu Y, Gao Y, Chen W, Li C, Dai X, et al. Genetic and virulence characteristics of a Raoultella planticola isolate resistant to carbapenem and tigecycline. Sci Rep 2022;12:3858.