Successful Treatment of Pantoea agglomerans Bacteremia Using Oral Antibiotics

Megan Penner1,2, Brittany Romans1,2, Lauren Tah1,2

  • 1Idaho State University College of Pharmacy at Anchorage, 3211 Providence Dr PSB 111, Anchorage, AK 99508, USA.

Insights

A rare bloodstream infection caused by Pantoea agglomerans in an adult was successfully treated. The patient recovered with a course of intravenous and oral antibiotics.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Gastrointestinal reflux and intravenous drug use are potential risk factors for bloodstream infections.
  • Pantoea agglomerans is an uncommon pathogen in human infections, particularly in adults.

Observation:

  • A 30-year-old female presented with fever and chills, indicative of a potential bloodstream infection.
  • Pantoea agglomerans was identified in one of two blood cultures, suggesting a possible infection.

Findings:

  • The patient received a short course of intravenous antibiotics followed by oral antibiotics.
  • The infection was successfully treated, leading to the patient's recovery.

Implications:

  • This case highlights the importance of considering Pantoea agglomerans as a potential pathogen in bloodstream infections.
  • Further research is needed to establish optimal treatment guidelines for Pantoea agglomerans bacteremia, especially regarding oral antibiotic efficacy and duration.

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