Raoultella ornithinolytica and Klebsiella oxytoca pyogenic liver abscess presenting as chronic cough

Asif Surani; Eliza M Slama; Samantha Thomas; Robert W Ross; Steven C Cunningham

doi:10.1016/j.idcr.2020.e00736

Raoultella ornithinolytica and Klebsiella oxytoca pyogenic liver abscess presenting as chronic cough

IDCases. 2020 Feb 28:20:e00736. doi: 10.1016/j.idcr.2020.e00736. eCollection 2020.

Authors

Asif Surani¹, Eliza M Slama², Samantha Thomas², Robert W Ross³, Steven C Cunningham²

Affiliations

¹ Department of Medicine, Froedtert & The Medical College of Wisconsin, 8701 W Watertown Plank Rd, Wauwatosa, WI 53226, United States.
² Department of Surgery, Saint Agnes Hospital, 900 S Caton Ave, Baltimore, MD 21229, United States.
³ Department of Infectious Disease, Saint Agnes Hospital, 900 S Caton Ave, Baltimore, MD 21229, United States.

Abstract

Raoultella ornithinolytica is a Gram-negative rod belonging to the Enterobacteriaceae family and closely related to Klebsiella spp. It is commonly present in aquatic environments. Human infections caused by R. ornithinolytica are being increasingly recognized. It has been documented to cause various hospital-acquired infections including but not limited to gastrointestinal, skin, and genitourinary infections. The organism has been particularly associated with invasive procedures and is commonly seen in patients with malignancy, diabetes, chronic kidney disease and immunodeficiency. To our knowledge, we report the first case of pyogenic liver abscess caused by this organism. The patient presented subtly with a chronic, nonresolving cough and was managed successfully by surgical drainage and appropriate antimicrobials.

Keywords: Cough; Pyogenic liver abscess; Raoultella ornithinolytica.

Publication types

Case Reports