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Postsurgical Pantoea calida meningitis: a case report.

Shirley Fritz, Nadim Cassir, Remy Noudel

¹URMITE, UMR63 CNRS 7278, IRD 198, Inserm 1095, Aix Marseille Université, 13005 Marseille, France. michel.drancourt@univ-amu.fr.

Journal of Medical Case Reports

|June 18, 2014

Summary

Pantoea calida, an environmental bacterium, has been identified as a cause of meningitis following surgery. This opportunistic pathogen is easily detected using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

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Area of Science:

Microbiology
Infectious Diseases
Clinical Medicine

Background:

Pantoea calida is a recently identified environmental bacterium belonging to the Enterobacteriaceae family.
Previously, P. calida had not been linked to any human infections.
This case highlights a novel association between P. calida and human disease.

Observation:

A 52-year-old woman developed febrile meningitis after pituitary adenoma resection.
Cerebrospinal fluid analysis confirmed meningitis.
Pantoea calida was isolated in pure culture from the cerebrospinal fluid.

Findings:

The bacterium was identified as P. calida using partial rpoB gene sequencing.
The patient was successfully treated with a 14-day course of meropenem.
Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) can readily identify P. calida.

Implications:

Pantoea calida should be recognized as a potential opportunistic pathogen causing postsurgical meningitis.
This finding expands the spectrum of Enterobacteriaceae implicated in human infections.
Accurate and rapid identification of P. calida is crucial for appropriate patient management.