Septic arthritis of the knee due to &amp;lt;i&amp;gt;Pantoea&amp;lt;/i&amp;gt; &amp;lt;i&amp;gt;agglomerans&amp;lt;/i&amp;gt;: look for the thorn

Koester, Tobias; Kusano, Taro; Eijer, Henk; Escher, Robert; Waldegg, Gabriel

doi:10.5194/jbji-6-51-2020

Cited by 5 publications

(8 citation statements)

References 23 publications

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“…However, in our case, we had confirmation of susceptibility to amoxicillin/clavulanate hence the choice to change back from flucloxacillin. In line with the previously described case series [1], antibiotic therapy alone was ineffective in this case, as evidenced by the patient's return to the emergency room with a tense joint after starting antibiotics, necessitating an arthroscopy and lavage.…”

Section: Discussionsupporting

confidence: 82%

“…agglomerans antimicrobial sensitivity is variable, it is frequently resistant to β-lactams [6]. P. agglomerans and other Enterobacterales may produce β-lactamase and are not always covered by the conventional empirical antibiotic treatment schemes for septic arthritis [1]. In previous studies, P. agglomerans has shown sensitivity to amikacin, gentamicin, carbapenems, cotrimoxazole, ampicillin/sulbactam, cephalosporines, and quinolones [6].…”

Section: Discussionmentioning

confidence: 99%

“…Pantoea agglomerans is a facultative anaerobe and environmental bacterium of the family Enterobacterales found in plants, the earth, and water, and occasionally in wounds of animals [1,2]. P. agglomerans, though not an obligate infectious agent in humans, could be a cause of opportunistic human infections, especially in wound infection with plant material [3].…”

Section: Introductionmentioning

confidence: 99%

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A Thorn in a Haystack: A Rare Case of Septic Arthritis

Leal-dos-Santos¹,

Ferreira²,

Peres³

et al. 2021

Cureus

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Pantoea agglomerans is a facultative anaerobe and environmental bacterium that could be a cause of opportunistic human infections, especially in wound infection with plant material. Arthritis or synovitis secondary to penetrating plant thorn injuries is not frequently reported. We present the case of a 35-yearold otherwise healthy male with a bramble thorn penetrating injury of the left knee. P. agglomerans was isolated from the synovial fluid. The patient was treated with amoxicillin/clavulanate according to sensitivity testing. This case highlights the importance of precise and thorough medical history, especially for less common presentations, as well as source control.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Thorn in a Haystack: A Rare Case of Septic Arthritis

Leal-dos-Santos¹,

Ferreira²,

Peres³

et al. 2021

Cureus

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“…Including the reported case, a total of 16 septic arthritis cases exist in the literature ( Table 1 ) [ 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. The age of the patients ranged from 4 to 68 years with mean age=30.5 years (standard deviation [SD]=24), while most patients were male (81.25%).…”

Section: Discussionmentioning

confidence: 99%

Knee Septic Arthritis Caused by Pantoea agglomerans

Koutserimpas¹,

Kotzias²,

Naoum³

et al. 2022

JOCR

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Introduction: Septic arthritis usually affects native joints and represents an invasion of the joint space by a wide variety of microorganisms, most commonly bacteria, such as Staphylococci, Streptococci, and Gram-negative rods. An extremely rare case of septic knee arthritis caused by Pantoea agglomerans in a 67-year-old male is presented. Case Presentation: The patient was initially treated with arthroscopic debridement, but due to persistent symptomatology open surgical debridement 3 days after initial surgery was also performed. Cultures yielded P. agglomerans and Streptococcus agalactiae. He was commenced on causative antimicrobial treatment including intravenous linezolid, ciprofloxacin, and clindamycin. He was discharged 10 days later, on oral linezolid and ciprofloxacin for 3 months. Conclusions: Delayed diagnosis in septic arthritis cases and inadequate control of the infection may lead to insufficient treatment and devastating consequences for the patient. The treatment includes surgical debridement and proper antimicrobial agents. Cultures dictate the proper treatment; hence, microbiological examination is of utmost importance, since it may reveal unusual organisms for which empirical treatment may prove insufficient. Keywords: Native joint infection, knee infection, septic knee, synovitis, arthroscopic treatment, Pantoea agglomerans.

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“…Only a few cases of spontaneous Pantoea agglomerans bacteremia have been reported, mostly among pediatric, hospitalized, immunocompromised, or cancer patients [1][2][3]. Although it is present in the soil, plant surfaces, human excreta, vegetables, and fruits, it is known to jump kingdoms and cause a clinical spectrum of diseases ranging from diarrhea, sepsis, arthritis, osteomyelitis, synovitis, urinary tract infections, pneumonia, to septic shock in humans [3][4][5]. The impact of P. agglomerans bacteremia remains largely unknown in chronic respiratory disorders such as chronic obstructive pulmonary disease (COPD).…”

Section: Introductionmentioning

confidence: 99%

Pantoea agglomerans: An Elusive Contributor to Chronic Obstructive Pulmonary Disease Exacerbation

Shrestha¹,

Nabin²,

Bastola³

et al. 2021

Cureus

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The ubiquitously present gram-negative bacteria Pantoea agglomerans is not a commonly known human pathogen. Recently, increasing recognition of the species as a human pathogen has led to controversy as limited documented cases of P. agglomerans bacteremia and infections have been reported in the literature, with most cases reported among immunocompromised patients or the pediatric population. Here, we present the case of a 54-year-old female with P. agglomerans and Enterococcus faecium bacteremia along with chronic obstructive pulmonary disease.

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Septic arthritis of the knee due to <i>Pantoea</i> <i>agglomerans</i>: look for the thorn

Cited by 5 publications

References 23 publications

A Thorn in a Haystack: A Rare Case of Septic Arthritis

A Thorn in a Haystack: A Rare Case of Septic Arthritis

Knee Septic Arthritis Caused by Pantoea agglomerans

Pantoea agglomerans: An Elusive Contributor to Chronic Obstructive Pulmonary Disease Exacerbation

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