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They mostly cause nosocomial infections associated with surgical procedures. This case study is the first report of a <jats:italic>Raoultella<\/jats:italic> infection in Africa.<\/jats:p>\n                <jats:p>Case presentation<\/jats:p>\n                <jats:p>We report a case of a surgical site infection (SSI) caused by <jats:italic>Raoultella planticola<\/jats:italic> which developed after caesarean section (CS) and surgery for secondary small bowel obstruction. The patient became febrile with neutrophilia (19,157\/\u00b5L) 4\u00a0days after laparotomy and started to develop clinical signs of a SSI on the 8<jats:sup>th<\/jats:sup> day after laparotomy. The patient continued to be febrile and became critically ill despite empirical treatment with ceftriaxone and vancomycin. <jats:italic>Raoultella<\/jats:italic> species with extended antimicrobial resistance (AMR) carrying the CTX-M-9 \u03b2-lactamase was isolated from the wound discharge. Considering the antimicrobial susceptibility test, ceftriaxone was replaced by ceftazidime. The patient recovered and could be discharged on day 29 after CS.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p><jats:italic>Raoultella planticola<\/jats:italic> was isolated from an infected surgical site after repeated abdominal surgery. Due to the infection the patient\u2019s stay in the hospital was prolonged for a total of 4\u00a0weeks. It is noted that patients undergoing surgical and prolonged inpatient treatment are at risk for infections caused by <jats:italic>Raoultella<\/jats:italic>. The development of a SSI caused by <jats:italic>Raoultella planticola<\/jats:italic> with extended AMR has to be assumed to be a consequence of ineffective antibiotic utilization. The presented case advices that rare bacteria as <jats:italic>Raoultella<\/jats:italic> should be considered as potential cause of nosocomial SSI with challenging treatment due to high levels of AMR.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12941-020-00380-0","type":"journal-article","created":{"date-parts":[[2020,8,17]],"date-time":"2020-08-17T11:03:45Z","timestamp":1597662225000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["CTX-M-9 group ESBL-producing Raoultella planticola nosocomial infection: first report from sub-Saharan Africa"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9505-9341","authenticated-orcid":false,"given":"Tafese Beyene","family":"Tufa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torsten","family":"Feldt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desalegn Tadesse","family":"Galata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin R.","family":"Mackenzie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Pfeffer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"H\u00e4ussinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,17]]},"reference":[{"key":"380_CR1","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1099\/00207713-51-3-925","volume":"51","author":"M Drancourt","year":"2001","unstructured":"Drancourt M, Bollet C, Carta A, Rousselier P. 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The consent form (written in the patient\u2019s mother tongue, Amharic) is available upon request.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"36"}}