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Case Reports in Medicine
Volume 2010, Article ID 134086, 2 pages
Case Report

A Rare Case of Soft-Tissue Infection Caused by Raoultella planticola

1Department of Medical Microbiology, University College Hospital, Galway, Ireland
2Department of Plastic Surgery, University College Hospital, Galway, Ireland

Received 25 May 2010; Revised 30 June 2010; Accepted 7 July 2010

Academic Editor: Jeannette Guarner

Copyright © 2010 Karina O' Connell et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Raoultella species are Gram-negative, non-motile bacilli primarily considered to be environmental bacteria. Raoultella planticola is a rare cause of human infections. We report a case of serious soft-tissue infection in a young male tiler who presented with cellulitis of his left thumb. He had sustained a crush injury to his left thumb 10 days earlier in a soiled environment. He noted a minor break in the skin and he washed the wound out with running water. One week later, he experienced pain, erythema, and swelling of his thumb and attended his general practitioner who prescribed oral flucloxacillin and penicillin V. Despite this treatment, he noticed progressive erythema and swelling of his thumb requiring hospital admission 3 days later. He underwent washout and debridement of his thumb. Tissue obtained intraoperatively cultured Raoultella planticola. He was treated with broad-spectrum antibiotics including ciprofloxacin and made a full and rapid recovery.