Abstract
IntroductionPantoea agglomerans is a plant pathogen which very rarely causes an opportunistic infection. Human beings are usually infected by thorn prick injuries or by contaminated parenteral fluids. Pantoea agglomerans has been reported as a cause of neonatal sepsis very rarely and to the best of our knowledge this is the first reported case from India.Case presentationA 4-day-old Asian baby boy from the rural area of Odisha, India, was admitted to our neonatal intensive care unit when he presented with fever, tachypnea and chest retraction. Pantoea species were isolated from his blood culture.ConclusionsHe was treated successfully with meropenem administered intravenously and other supportive measures. Early detection and proper management may cause a favorable outcome.
Highlights
Pantoea agglomerans is a plant pathogen which very rarely causes an opportunistic infection
Case presentation A 4-day-old Asian baby boy was delivered vaginally at term in our hospital; he was referred to our neonatal intensive care unit (NICU) 48 hours after delivery when he presented with fever, tachypnea and chest retraction
To the best of our knowledge this is the first case report of Pantoea spp. causing early onset neonatal sepsis from India in an otherwise term baby exposed to premature rupture of membrane (PROM)
Summary
Formerly known as Enterobacter agglomerans, is a member of family Enterobacteriaceae. Case presentation A 4-day-old Asian baby boy was delivered vaginally at term in our hospital; he was referred to our neonatal intensive care unit (NICU) 48 hours after delivery when he presented with fever, tachypnea and chest retraction. His birth weight was 2.9kg and he cried immediately after delivery. After collection of the blood sample the baby boy was treated empirically with vancomycin and amikacin His therapy was changed to meropenem and he was successfully treated with 1 gram twice daily for 14 days after getting the sensitivity report
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