Pantoea agglomerans – an underestimated pathogenic agent in penetrating trauma involving vegetative material

Friedling, Franziska; Kekulé, Alexander S.; Wc, Marsch; Stadie, Volker

doi:10.1111/jdv.13081

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…As per published data, [25][26][27][28] the most common presentation of this infection is after thorn injuries. In contrast, none of the patients in our dialysis unit had a recent history of thorn injuries.…”

Section: Resultsmentioning

confidence: 88%

Pantoea agglomerans: A rare infectious outbreak affecting maintenance hemodialysis patients in a tertiary care hospital

Hassan,

Saleem,

Haneef

et al. 2023

Seminars in Dialysis

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BackgroundPantoea agglomerans is an environmental pathogen known to cause infection in immunocompromised individuals, particularly after thorn injuries. However, previous data showed few cases of human disease caused by contaminated medical products such as parenteral nutrition, anesthetic agents, blood, and peritoneal dialysis solutions. Infection in hemodialysis patients is rare. In this study, we presented a detailed account of several hemodialysis patients infected with this contagious pathogen and compared them with noninfected dialysis patients.MethodsWe retrospectively reviewed the hospital records of 105 hemodialysis patients. Seventeen of 105 patients were diagnosed with P. agglomerans infection. We carefully analyzed their entire in‐hospital course.ResultsAmong infected patients, 52.9% were male with a median age of 49 (IQR: 32–66) years. Compared to the noninfected patients, age below 50 years, prior kidney transplantation, prior immunosuppression and antibiotics use, and dialysis via a tunneled vascular catheter were the significant epidemiological features. Despite negative microbiological investigations, we suspect the possible infectious spread via infected central venous catheter was the likely infectious source. Most importantly, all patients responded well to intravenous antibiotics. Only two patients required the removal of the tunneled catheter. Their mortality rate was 0%.ConclusionP. agglomerans infection, although considered rare, is becoming increasingly prevalent among dialysis patients. Its occurrence must be appraised as an infectious outbreak rather than mere contamination. Prompt treatment, source identification, and early implementation of preventive strategies should always be the goal to curtail this infection at an early stage.

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Section: Resultsmentioning

confidence: 88%

Pantoea agglomerans: A rare infectious outbreak affecting maintenance hemodialysis patients in a tertiary care hospital

Hassan,

Saleem,

Haneef

et al. 2023

Seminars in Dialysis

View full text Add to dashboard Cite

show abstract

“…Several reports of cellulitis and wound infections have been described. 4,5 Inflammatory changes may appear several weeks or even months after trauma and, depending on the site or depth of injury, septic arthritis, 6 synovitis, 7 soft tissue infection or even periostitis and osteomyelitis 2 may develop.…”

Section: Discussionmentioning

confidence: 99%

“…Imaging tests such as ultrasonography or magnetic resonance imaging can be useful tools to identify and locate retained foreign materials. 4,5,10 P. agglomerans is usually sensitive to synthetic penicillins, ciprofloxacin, gentamicin, third-generation cephalosporins and cotrimoxazole and may show resistance to ampicillin and to first-and second-generation cephalosporins due to beta-lactamase production. 1 Although isolated reports of successful treatment with cotrimoxazole has been described, whenever possible, treatment should be guided by antibiotic sensitivity results.…”

Section: Discussionmentioning

confidence: 99%

Wound infection by Pantoea agglomerans after penetrating plant injury

Alpiste¹,

Ezquerra²,

Pujol³

2021

IJDVL

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Pantoea agglomerans is a ubiquitous gram-negative bacterium that has been linked to skin and joint infections secondary to plant injuries. Herein we report a 58-year-old woman who presented with 2 erythematous nodules with purulent discharge on the anterior aspect of the right leg that developed after a penetrating plant injury. The patient was initially treated with amoxicillin-clavulanic acid, cloxacillin and clindamycin without improvement. P. agglomerans was isolated from both exudate and skin biopsy cultures. Healing of the lesions was achieved after the spontaneous release of a retained plant fragment and treatment with cotrimoxazole. Identification of P. agglomerans in persistent exudative lesions should alert the clinician regarding a possible previous plant injury and retained vegetal fragments. Conventional antibiotic treatment and the extraction of retained foreign bodies usually lead to complete resolution.

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Pantoea agglomerans – an underestimated pathogenic agent in penetrating trauma involving vegetative material

Cited by 2 publications

References 5 publications

Pantoea agglomerans: A rare infectious outbreak affecting maintenance hemodialysis patients in a tertiary care hospital

Pantoea agglomerans: A rare infectious outbreak affecting maintenance hemodialysis patients in a tertiary care hospital

Wound infection by Pantoea agglomerans after penetrating plant injury

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