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Open Access Highly Accessed Case report

Necrotizing fasciitis involving the chest and abdominal wall caused by Raoultella planticola

Si-Hyun Kim1, Kyoung Ho Roh2, Young Kyung Yoon1, Dong Oh Kang1, Dong Woo Lee3, Min Ja Kim1 and Jang Wook Sohn1*

Author Affiliations

1 Department of Internal Medicine, Korea University Medical College, Seoul, Korea

2 Department of Laboratory Medicine, Korea University Medical College, Seoul, Korea

3 Department of Surgery, Korea University Medical College, Seoul, Korea

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BMC Infectious Diseases 2012, 12:59  doi:10.1186/1471-2334-12-59

Published: 17 March 2012

Abstract

Background

Raoultella planticola was originally considered to be a member of environmental Klebsiella. The clinical significance of R. planticola is still not well known.

Case presentation

We describe the first case of necrotizing fasciitis involving the chest and abdominal wall caused by R. planticola. The identity of the organism was confirmed using 16S rRNA sequencing. The patient was successfully treated with the appropriate antibiotics combined with operative drainage and debridement.

Conclusions

R. planticola had been described as environmental species, but should be suspected in extensive necrotizing fasciitis after minor trauma in mild to moderate immunocompromised patients.