Multiple Liver Abscesses due to Pantoea Agglomerans.
Treated by minimally invasive technique. rare case
Keywords:
Pantoea agglomerans, Kidney abscess, Liver abscess, SepsisAbstract
Pantoea agglomerans infections have been reported in epidemiological outbreaks, especially in pediatric intensive care areas; However, there is little information that comprehensively reflects this situation. The infection has a variable clinical presentation, which results in a low clinical presumption, being a risk factor for diagnosis and timely treatment.
We present the case of a patient who presented with a kidney and liver abscess with the presence of Pantoea agglomerans in blood culture that required targeted antibiotic treatment and percutaneous drainage of the abscess.
In conclusion, it is necessary to report these rare cases, showing their diverse pathology, the need for cultures with their respective antibiotiogram, which will allow redirecting the antibiotic treatment to resolve the condition and in certain cases, the requirement for surgical drainage of the abscesses.
References
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, vol. 2020, Article ID 7890305, 4 pages, 2020. Https://doi.org/10.1155/2020/7890305
Büyükcam A, Tuncer Ö, Gür D, Sancak B, Ceyhan M, Cengiz AB, Kara A. Clinical and microbiological characteristics of Pantoea agglomerans infection in children. J Infect Public Health. 2018 May-Jun;11(3):304-309. Doi: 10.1016/j.jiph.2017.07.020. Epub 2017 Aug 2. PMID: 28780309.
Cruz, A. T., Cazacu, A. C., & Allen, C. H. (2007). Pantoea agglomerans, a plant pathogen causing human disease. Journal of clinical microbiology, 45(6), 1989–1992. Https://doi.org/10.1128/JCM.00632-07
Mani, S., & Nair, J. (2021). Pantoea Infections in the Neonatal Intensive Care Unit. Cureus, 13(2), e13103. Https://doi.org/10.7759/cureus.13103
Bergman, Klasina A. MD* ; Arends, Jan P. MD† ; Schölvinck, Elisabeth H. MD* . Pantoea agglomerans septicemia in three newborn infants. The Pediatric Infectious Disease Journal 26(5):p 453- 454, May 2007. | DOI: 10.1097/01.inf.0000261200.83869.92
Kaur IP, Inkollu S, Prakash A, Gandhi H, Mughal MS, Du D. Pantoea agglomerans Bacteremia: Is It Dangerous? Case Rep Infect Dis. 2020 Apr 3;2020:7890305. doi: 10.1155/2020/7890305. PMID: 32313708; PMCID: PMC7160720.
Asai, N., Koizumi, Y., Yamada, A., Sakanashi, D., Watanabe, H., Kato, H., Shiota, A., Hagihara, M., Suematsu, H., Yamagishi, Y., & Mikamo, H. (2019). Pantoea dispersa bacteremia in an immunocompetent patient: a case report and review of the literature. Journal of medical case reports, 13(1), 33. https://doi.org/10.1186/s13256-019-1969-z
