A new emerging oral infection: Raoultella planticola in a boy with haematological malignancy.
Eur Arch Paediatr Dent
; 18(3): 215-218, 2017 Jun.
Article
in En
| MEDLINE
| ID: mdl-28349509
ABSTRACT
BACKGROUND:
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. CASE REPORT 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.CONCLUSION:
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stomatitis
/
Burkitt Lymphoma
/
Enterobacteriaceae
/
Enterobacteriaceae Infections
Limits:
Adolescent
/
Humans
/
Male
Language:
En
Journal:
Eur Arch Paediatr Dent
Journal subject:
ODONTOLOGIA
/
PEDIATRIA
Year:
2017
Document type:
Article
Affiliation country:
Italy