A new emerging oral infection: Raoultella planticola in a boy with haematological malignancy

Autor: Elena Bardellini, Francesca Amadori, R. F. Schumacher, Alessandra Majorana, I. Foresti
Rok vydání: 2017
Předmět:
Zdroj: European Archives of Paediatric Dentistry. 18:215-218
ISSN: 1996-9805
1818-6300
DOI: 10.1007/s40368-017-0279-7
Popis: Oral mucositis is a common complication in pediatric cancer patients, affecting up to 80% of children. Due to neutropenia and disruption of the mucosal barrier, chemotherapy-induced oral mucositis is often complicated by super-infections. A 16-years old male with stage 3 Burkitt’s lymphoma developed chemotherapy induced oral mucositis grade 3 (according to WHO scale). Ulcers were quickly growing (reaching a maximum diameter of 3 cm) and became greyish in colour, resulting in dysphagia and pain. A swab of the lesions was taken and microbiological tests were performed. The sample grew for Raoultella planticola, an encapsulated Gram-negative bacterium whose full pathogenic potential still needs to be defined. Treatment: The patient received antibiotic combination therapy with Amikacin and Ceftazidime for 8 days. Complete healing of the lesions and resolution of the symptoms were reached and he completed his antineoplastic therapy without further complications. Follow-up: Twelve months after the infection, he is alive and well, with no oral complaints. This is the first report of a Raoultella planticola infection in a patient with chemotherapy induced oral mucositis. This type of infection must be added to the list of organisms to be considered when caring for these patients.
Databáze: OpenAIRE
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