A Rare Case of Cholecystitis Caused by Raoultella planticola

Abstract EN

A 62-year-old female presented with right upper quadrant pain.

Clinical examination and ultrasound scan were consistent with gallstones and acute cholecystitis.

She received 3 days of intravenous Co-amoxiclav and was discharged with 5-days of oral antibiotics with arrangements to return for an elective cholecystectomy.

This was performed 5 months later which revealed an inflamed gallbladder and a localised abscess secondary to gallbladder perforation.

Fluid from the gallbladder was taken which cultured Raoultella planticola, a gram-negative, nonmotile environmental bacteria (Bagley et al.

(1981)).

This is the first report of biliary sepsis with a primary infection by R.

planticola.

This patient was treated with a 5-day course of oral Co-amoxiclav and made a full recovery.