An unusual cause of peritonitis in peritoneal dialysis patients: Pantoea agglomerans

Abstract

Peritonitis is a serious infection and early diagnosis and treatment is mandatory. A variety of microorganisms are identified in these cases and during recent years a new one was included, Pantoea agglomerans. In this case report, a female patient on continuous ambulatory peritoneal dialysis therapy with a peritonitis episode caused by this organism is described. The source of infection was thought to be due to contact of catheter with non-sterile surfaces. In microbiologic culture, this organism was identified and the patient successfully treated with a three week course of gentamicin therapy. The number of reported cases with this organism has increased in last years and various infection localizations and clinical progress patterns have been identified. In peritoneal dialysis patients presenting with peritonitis, this organism must be kept in mind.

Occurrence of Biofilm Formation in Serratia fonticola and Pantoea sp. Isolates among Urinary Catheterized Patients

“…Pantoea sp. belong to the Enterobacteriaceae; it was previously named Enterobacter and Erwinia [14]. It is an opportunistic pathogen that can cause diseases to hospitalized patients, especially those with immune compromised infections when exposed to contaminated equipment or fluids with these bacteria [3].…”

“…Some studies pointed out that non-biofilm Pantoea sp. were uniformly susceptible to most antibiotics tested in their studies [14,43], but biofilm Pantoea sp. were less susceptible to antibiotics than free planktonic bacteria [44].…”

A Rare Pathogen in a Burn Patient: Pantoea agglomerans

“…The species of the genus Pantoea can be isolated from plants, water, and soil. Also they have been isolated routinely from Until now, case reports of infections due to P. agglomerans have been reported such as bacteremia in febrile neutropenic patients [4,5], peritonitis in a peritoneal dialysis patient [6], dacryocystitis [7], septic arthritis [8], and wound infections in patients with traumatic injuries [9]. Also an outbreak of P. agglomerans which presented as sepsis in a pediatric urgent care center was formerly reported [10].…”

Subchronic (90‐day) toxicity assessment of Somacy‐FP100, a lipopolysaccharide‐containing fermented wheat flour extract from Pantoea agglomerans

“…Organ weights relative to body weight for rats administered Somacy-FP100 by oral gavage for 90 days contaminated medical devices (Kazancioglu, Buyukaydin, Iraz, Alay, & Erkoc, 2014;Mackel, Maki, Anderson, Rhame, & Bennett, 1975;Shubov, Jagannathan, & Chin-Hong, 2011), or infections of open wounds exposed to plant material containing the organism (De Champs et al, 2000;Duerinckx, 2008;Kratz, Greenberg, Barki, Cohen, & Lifshitz, 2003;Strömqvist, Edlund, & Lidgren, 1985;Vaiman, Lazarovich, & Lotan, 2013). Due to this potential for causing opportunistic infections, P. agglomerans is classified as a Biosafety Level 2 organism (Rezzonico, Smits, Montesinos, Frey, & Duffy, 2009); microbes in this category are considered to pose a "moderate hazard", but are only one level above the lowest risk category, Biosafety Level 1 (ATCC, 2019).…”