A clinical vignette on <i>Raoultella planticola</i> bacteremia
Bibliographic record
Abstract
Raoultella planticola is a gram-negative bacillus. There are fewer than 35 reported infections with this organism in the literature. We describe a case of R. planticola bacteremia and osteomyelitis. A 25-year-old male was admitted to hospital with fatigue and fevers. His past medical history was remarkable for a mitochondrial cytopathy associated with gastrointestinal (GI) dysmotility. He was found to have R. planticola bacteremia. The source of his infection was not obvious but a bone scan of his feet (where the patient had chronic ulcers and worsening pain) showed chronic osteomyelitis (OM). He was treated with levofloxacin and cefazolin, following susceptibility testing, for 6 weeks. At the end of his treatment, his left heel pain markedly improved with resolution of fevers. To date, testing for immunocompromise has been negative. We present a novel case of R. planticola bacteremia and left heel OM in a patient with mitochondrial cytopathy who is not known to be immunocompromised.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".