Pantoea agglomerans Bacteremia: Is It Dangerous?

Introduction. Pantoea agglomerans, an anaerobic Gram-negative bacillus, is a rare cause of opportunistic infections affecting premature infants to seniors. We present a 34-year-old man who was presented for the management of diabetic ketoacidosis and developed Pantoea agglomerans bacteremia after on...

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Main Authors: Ikwinder Preet Kaur, Sindhura Inkollu, Amulya Prakash, Haresh Gandhi, Mohsin Sheraz Mughal, Doantrang Du
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/7890305
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author Ikwinder Preet Kaur
Sindhura Inkollu
Amulya Prakash
Haresh Gandhi
Mohsin Sheraz Mughal
Doantrang Du
author_facet Ikwinder Preet Kaur
Sindhura Inkollu
Amulya Prakash
Haresh Gandhi
Mohsin Sheraz Mughal
Doantrang Du
author_sort Ikwinder Preet Kaur
collection DOAJ
description Introduction. Pantoea agglomerans, an anaerobic Gram-negative bacillus, is a rare cause of opportunistic infections affecting premature infants to seniors. We present a 34-year-old man who was presented for the management of diabetic ketoacidosis and developed Pantoea agglomerans bacteremia after one week of hospitalization. Case Presentation. A 34-year-old African-American male with uncontrolled diabetes mellitus type I and recurrent skin infections was admitted with diabetic ketoacidosis. He had left upper extremity abscess, preliminary wound cultures were positive for Gram-positive cocci, and an initial set of blood cultures were negative. He was started empirically on vancomycin. One week after admission, he started having chills followed by a recurrent increase in body temperature to 102 degrees Fahrenheit. The wound was healing, without active infection. Chest X-ray and CT scan of abdomen and pelvis to rule out infection were negative. Repeat blood cultures showed P. agglomerans in both the tubes. The patient was successfully treated with intravenous ceftriaxone, and he recovered fully without any complication. Discussion. Pantoea agglomerans is a bacteria associated with plants; however, it can infect humans and vertebrate animals. The outcome seems favourable with the institution of appropriate antibiotics even in immunocompromised patients.
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spelling doaj-art-d68336af6e514ccf97f0a3d43312c6ac2025-02-03T01:26:57ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/78903057890305Pantoea agglomerans Bacteremia: Is It Dangerous?Ikwinder Preet Kaur0Sindhura Inkollu1Amulya Prakash2Haresh Gandhi3Mohsin Sheraz Mughal4Doantrang Du5Monmouth Medical Center, Long Branch, NJ, USAMonmouth Medical Center, Long Branch, NJ, USAMonmouth Medical Center, Long Branch, NJ, USAMonmouth Medical Center, Long Branch, NJ, USAMonmouth Medical Center, Long Branch, NJ, USAMonmouth Medical Center, Long Branch, NJ, USAIntroduction. Pantoea agglomerans, an anaerobic Gram-negative bacillus, is a rare cause of opportunistic infections affecting premature infants to seniors. We present a 34-year-old man who was presented for the management of diabetic ketoacidosis and developed Pantoea agglomerans bacteremia after one week of hospitalization. Case Presentation. A 34-year-old African-American male with uncontrolled diabetes mellitus type I and recurrent skin infections was admitted with diabetic ketoacidosis. He had left upper extremity abscess, preliminary wound cultures were positive for Gram-positive cocci, and an initial set of blood cultures were negative. He was started empirically on vancomycin. One week after admission, he started having chills followed by a recurrent increase in body temperature to 102 degrees Fahrenheit. The wound was healing, without active infection. Chest X-ray and CT scan of abdomen and pelvis to rule out infection were negative. Repeat blood cultures showed P. agglomerans in both the tubes. The patient was successfully treated with intravenous ceftriaxone, and he recovered fully without any complication. Discussion. Pantoea agglomerans is a bacteria associated with plants; however, it can infect humans and vertebrate animals. The outcome seems favourable with the institution of appropriate antibiotics even in immunocompromised patients.http://dx.doi.org/10.1155/2020/7890305
spellingShingle Ikwinder Preet Kaur
Sindhura Inkollu
Amulya Prakash
Haresh Gandhi
Mohsin Sheraz Mughal
Doantrang Du
Pantoea agglomerans Bacteremia: Is It Dangerous?
Case Reports in Infectious Diseases
title Pantoea agglomerans Bacteremia: Is It Dangerous?
title_full Pantoea agglomerans Bacteremia: Is It Dangerous?
title_fullStr Pantoea agglomerans Bacteremia: Is It Dangerous?
title_full_unstemmed Pantoea agglomerans Bacteremia: Is It Dangerous?
title_short Pantoea agglomerans Bacteremia: Is It Dangerous?
title_sort pantoea agglomerans bacteremia is it dangerous
url http://dx.doi.org/10.1155/2020/7890305
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AT hareshgandhi pantoeaagglomeransbacteremiaisitdangerous
AT mohsinsherazmughal pantoeaagglomeransbacteremiaisitdangerous
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