{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:16:45Z","timestamp":1768432605931,"version":"3.49.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:00:00Z","timestamp":1518048000000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n \n Raoultella Planticola<\/jats:italic>\n is a gram negative, aerobic, rod bacteria found in water and soil and is rarely reported to cause infections in humans. This case study is the first of its kind in reporting\n R. planticola<\/jats:italic>\n appendicitis.\n <\/jats:p>\n <\/jats:sec>\n \n Presentation of case:<\/jats:title>\n \n We report a case of a woman presenting with a two-day history of increased weakness, fatigue and anorexia, localized pain to the right lower quadrant, and elevated white blood cell count. CT results demonstrated acute uncomplicated appendicitis which was managed via laparoscopic appendectomy. The patient became febrile on the day of the procedure and was found to have R.\n planticola<\/jats:italic>\n bacteremia which was treated with amoxicillin-clavulanate. She was discharged on postoperative day two and reported an unremarkable recovery at her five-week follow-up appointment.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n \n R. planticola<\/jats:italic>\n is a common organism that is rarely, though increasingly, associated with human infection. Interestingly, prior to hospitalization, this patient did not have any risk factors commonly associated with\n R. planticola<\/jats:italic>\n infection, such as seafood consumption. However, she may have had gastrointestinal tract colonization with\n R. planticola<\/jats:italic>\n prior to onset of appendicitis and appendectomy. Bacteremia likely resulted from micro-perforation of the appendix.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n Although infection with\n R. planticola<\/jats:italic>\n is typically benign when treated appropriately, this pathogen has homology with\n Klebsiella<\/jats:italic>\n species, and has the potential to acquire antimicrobial resistance. The case presented here suggests that R. planticola should be considered as a potential source of bacteremia in inflammatory\/infectious gastrointestinal tract diseases even in the absence of typical risk factors.\n <\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.01.021","type":"journal-article","created":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T13:14:11Z","timestamp":1518182051000},"page":"38-41","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Raoultella Planticola associated necrotizing appendicitis"],"prefix":"10.1097","volume":"44","author":[{"given":"Gayathri","family":"Naganathan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nalin Kumar","family":"Amin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-10-20260114","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/BF01569013","article-title":"Klebsiella planticola sp. nov.: A New Species of Enterobacteriaceae Found Primarily in Nonclinical Environments","volume":"6","author":"Bagley","year":"1981","journal-title":"Curr. 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