Rare Infection with Raoultella ornithinolytica in a case of Foot trauma: A Case Report.

Foot traumas are prone to infections due to wound contamination.1 We present a rare case of Raoultella ornithinolytica infection following a road traffic accident. A 30-year-old gentleman sustained a right foot injury with an open wound. He was initially given wound care and empirical antibiotics. However, persistent wound infection necessitated surgical exploration, which showed retained rubber fragments. Microbiological analysis identified Raoultella ornithinolytica, an environmental Gram-negative bacillus, as the causative agent. Two pus samples from different sites grew the same organism, confirming the diagnosis. A third sample, collected postoperatively from a discharging wound, also grew Raoultella ornithinolytica with a similar sensitivity pattern, reconfirming the pathogen. Following the sensitivity pattern, the patient showed significant improvement upon shifting to Ciprofloxacin with Metronidazole. The postoperative course was uneventful with complete recovery of the patient. This case highlights the importance of thorough wound exploration, microbiological diagnosis and targeted antibiotic therapy in managing post-traumatic wound infections.