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2018, Number 1

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Acta Pediatr Mex 2018; 39 (1)

Early Sepsis in a Preterm Newborn by Pantoea agglomerans: Case Report and Literature Review

Gálvez-Cuitiva EA, Peralta-Palmezano JJ, Lonngi-Rojas G

Language: Spanish
References: 46
Page: 52-59
PDF size: 780.13 Kb.


ABSTRACT

Introduction: Pantoea agglomerans is a gram-negative bacillus member of the Enterobacteriaceae family, of ubiquitous distribution and in certain circumstances can have a pathogenic behavior in humans, with few cases of neonatal infection not associated with health care described in the literature, none of them reported in Colombia.
Case presentation: In the following report, we present the case of a preterm, female newborn who, from the first day presents an inadequate neonatal adaptation, with respiratory distress, sepsis and a rapid clinical deterioration, which required management and support in the neonatal intensive care unit. It was isolated by blood cultures P. agglomerans, susceptible to the antibiotic management established, with a suitable posterior response, as well as a favorable clinical evolution.
Conclusion: Neonatal sepsis due to P. agglomerans is uncommon, and its outcome will depend on many factors, as well as early detection, timely assistance and appropriate management.


REFERENCES

  1. Muraschi T, Friend M, Bolles D. Erwinia-Like Microorganisms Isolated from Animal and Human Hosts. Applied Microbiology. 1965;13(2):128-131.

  2. Walterson, A., Stavrinides, J., Pantoea: insigihts into a highly versatile ande diverse genus within the Enterobacteria. FEMS Microbiology Reviews. 2015;fuv 027,39:968-984.

  3. Deletoile A, Decre D, Courant S, Passet V, Audo J, Grimont P, et al. Phylogeny and Identification of Pantoea Species and Typing of pantoea agglomeransstrains by multilocus gene sequencing. J Clin Microbiol. 2009;47(2):300-10.

  4. Brady C, CleenwerckI, Venter S, et al. Phylogeny and identification of Pantoea species associated with plants, humans and the natural environment based on multilocus sequence analysis (MLSA). Syst Appl Microbiol. 2008;31:447-60.

  5. Cruz A, Cazacu A, Allen C. Pantoeaagglomerans, a plant pathogen causing human disease. J Clin Microbiol. 2007;45(6):1989-92.

  6. ndersson A, Weiss N, Rainey F, Salkinoja-Salonen M. Dustborne bacteria in animal sheds, schools and children’s day care centres. J Appl Microbiol. 1999;86:622-34.

  7. Flatauer F, Khan M. Septic arthritis caused by Enterobacteragglomerans. Arch Intern Med.1978;138:788.

  8. Kratz A, Greenberg D, Barki Y, Cohen E, Lifshitz M. Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature review. Arch Dis Child. 2003;88:542-544.

  9. De Champs C, Le Seaux S, Dubost JJ, Boisgard S, Sauvezie B, Sirot J. Isolation of Pantoea agglomerans in two cases of septic monoarthritis after plant thorn and wood sliver injuries. J Clin Microbiol. 2000;38:460-461.

  10. Stromqvist B, Edlund E, Lidgren L. A case of blackthorn synovitis. Acta Orthop Scand. 1985;56:342-343.

  11. Oleginski TP, Bush DC, Harrington TM. Plant thorn synovitis: an uncommon cause of monoarthritis. Semin Arthritis Rheum. 1991;21:40-46.

  12. Duerinckx J. Subacute Synovitis of the Knee After a Rose Thorn Injury Unusual Clinical Picture. Clin Orthop Relat Res. 2008;466:3138-3142.

  13. Laporte C, Demachy MC, Thevenin-Lemoine C: Tibialosteitis caused by Pantoea agglomerans after open grade IIIB tibial shaft fracture (in French). Rev Chir Orthop Reparatrice Appar Mot. 2002;88:625-627.

  14. Wechsler A, et al. Brain Abscess Caused by an Erwinia Species. Report of a Case and Review of the Literature Am J Med. 1971;51(5):680-684.

  15. Mason GI, Bottone E, Podos SM.Traumatic Endophthalmitis Caused by an Erwinia Species. Am J Ophthalmol. 1976;82(5):709-13.

  16. Seok S. A Case of Bilateral endogenous Pantoea Agglomerans Endophthalmitis with Interstitial Lung Disease. Korean J Ophthalmol. 2010;24(4): 249-251.

  17. Kahveci A, Asicioglu E, Tigen E, Ari E, Z et al. Unusual causes of peritonitis in a peritoneal dialysis patient: Alcaligenesfaecalisand Pantoea agglomerans. Ann Clin Microbiol Antimicrob. 2010;10:12-4.

  18. Lim PS, Chen SL, Tsai CY, Pai MA. Pantoea-peritonitis in a patient receiving chronic ambulatory peritoneal dialysis. Nephrology. 2006;11:97-9.

  19. Magnette C, Tintillier M, Horlait G, Cuvelier C, Pochet JM. Severe peritonitis due to Pantoea agglomerans in a CCPD patient. Perit Dial Int. 2008;28:207-8.

  20. Panknin H-T. An outbreak of fatal pantoeainfections in newborn infants, caused by contaminated infusion solutions. Kinderkranken schwester. 2006;25(5):189–90.

  21. Maki DG, Rhame FS, Mackel DC, et al. Nationwide epidemic of septicemia caused by contaminated intravenous products. I. Epidemiologic and clinical features. Am J Med. 1976;60:471-85.

  22. Bennet SN, McNeil MM, Lee MP, Arduino M, Villarino E, Perrota Dennis, et al. Postoperative infections traced to contamination of an intravenous anesthetic, propofol. N Eng J Med. 1995;3333:147-154.

  23. Arduino MJ, Bland LA, Tipple MA, et al. Growth and endotoxin production of Yersinia enterocolitica and Enterobacter agglomerans in packed erythrocytes. J ClinMicrobiol. 1989;27:1483-85.

  24. Koo HS, Kim JS, Eom JS. Pseudo outbreak of Pantoea species bacteremia associated with contaminated cotton pledgets. Am J Inf Control. 2006;34:443-446.

  25. Mardaneh J, Dallal MMS. Isolation, identification and antimicrobial susceptibility of Pantoea (Enterobacter) agglomerans isolated from consumed powdered infant formula milk (PIF) in NICU ward: First report from Iran. Iran J Microbiol. 2013;5(3):263-267.

  26. Bicudo EL, Macedo VO, Carrara MA, Castro FF, Rage RI. Nosocomial outbreak of Pantoea agglomerans in a pediatric urgent care center. Braz J Infect Dis. 2007;11:281-4.

  27. Matsaniotis NS, Syriopoulou VP, Theodoridou MC, Tzanetou KG. Enterobacter sepsis in infants and children due to contaminated intravenous fluids. Infect Control. 1984;5:471-7.

  28. Wang H, Liddell CA, Coates MM, Mooney M., Levitz C, Schumacher A. et al.Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:957–79.

  29. Lawn JE, Cousens S, Zupan J, et al.4 million neonatal deaths: when? Where? Why? Lancet. 2005;365:891–900.

  30. Liu L, Johnson HL, Cousens S, Perin J, Scott S. Lawn J, et al.Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012;379:2151–61.

  31. Stoll BJ, Hansen N, Fanaroff AA, Wright LL, Carlo WA, Ehrenkranz RA, et al. Late- onset sepsis in very low birth weight neonates: the experience of the NICHD Neonatal Research Network. Pediatrics. 2002;110:285–91.

  32. Klinger G, Levy I, Sirota L, Boyko V, Reichman B, Lerner- Geva L. Epidemiology and risk factors for early onset sepsis among very-low-birthweight infants. Am J Obstet Gynecol. 2009;201:38.e1-6.

  33. Shah BA,Padbury JF. Neonatalsepsis: an old problem with new insights. Virulence. 2014;5(1):170-178.

  34. Zaidi AKM, Thaver D, Ali SA, et al. Pathogens associated with sepsis in newborns and young infants in developing countries. Pediatr Infect Dis J. 2009;28:S10-S18.

  35. Stoll BJ, Hansen NI, Sánchez PJ, et al. Early onset neonatal sepsis: the burden of group B Streptococcal and E. coli disease continues. Pediatrics. 2011;127:817–26.

  36. Bergman K, Arends J, Schölvinc E. Pantoea agglomerans septicemia in three newborn infants. The pediatric Infectious Disease Journal. 2007;26(5):453-454.

  37. Tiwari S, Beriha S. Pantoea species causing early onset neonatal sepsis: a case report. Journal of Medical Case Reports. 2015;9:188-190.

  38. Habsah H., Zeehaida M, Van Rostenberghe H, Noraida R, Wan Pauzi W, Fatimah I, Rosliza A, NikSharimah N. H. Maimunahc An outbreak of Pantoea spp. in a neonatal intensive care unit secondary to contaminated parenteral Nutrition. Journal of Hospital Infection. 2005;61:213-218.

  39. Van Rostenberghe H, Wan Pauzi WI, Habsha H, et al. The clinical picture of neonatal infection with Pantoea species. Jpn J Infect Dis. 2006;59:120-121.

  40. Segado A. Alonso A. Lubián S, García A. Pantoeaagglomerans: ¿un nuevo patógeno en la unidad de cuidados intensivos neonatales? Arch Argent Pediatr. 2012;110(4):e77-e79

  41. Lalas KM, Erichsen D. Sporadic Pantoea agglomerans bacteremia in a near-term female: case report and review of literature. Jpn J Infect Dis. 2010;63:290-2911.

  42. Aly NY, Salmeen HN, Abo Lila RA, Nagaraja PA. Pantoea agglomerans blood stream infection in preterm neonates. Med Princ Pract. 2008;17:500-3.

  43. Sengupta M, Banerjee S, Das NK, Guchhait P, Misra S. Early Onset Neonatal Septicaemia Caused by Pantoea agglomerans. J Clin Diagn Res. 2016;10(5):DD01-2.

  44. 4Mahapatra A, Dhal S, Jena PP, Mohapatra A, Dash D, Padhee A. Neonatal septicaemia due to a rare bacterium: Pantoea agglomerans (case series). Paediatr Infect Dis. 2014;6:102–04.

  45. Mehar V. Yadav D. Sanghvi J. Gupta N. Singh K. Pantoea dispersa: an unusual cause of neonatal sepsis. Braz J Infect Dis. 2013;17(6): 726-728.

  46. Ministerio de Salud y Protección Social, Colciencias. Guía de práctica clínica. Recién nacido: sepsis neonatal temprana. Versión completa. Bogotá: Alianza CINETS; 2013. Guía No 6.




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