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  • Early onset fulminant neonatal sepsis and multiple serous effusions caused by Pantoea agglomerans in an extremely preterm neonate

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Paediatrics
Early onset fulminant neonatal sepsis and multiple serous effusions caused by Pantoea agglomerans in an extremely preterm neonate
  1. Arshdeep Kaur1,
  2. Sujata Deshpande1,
  3. Snehal Vilas Dhayagude2 and
  4. Pradeep Suryawanshi1
  1. 1Department of Neonatology, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India
  2. 2Department of Microbiology, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India
  1. Correspondence to Dr Pradeep Suryawanshi; pradeepkumar.suryawanshi{at}bharatividyapeeth.edu

Abstract

Pantoea agglomerans is a Gram-negative bacterium commonly isolated from environmental sources such as plants and soil. Infections in humans are usually reported following penetrating wounds or in hospital settings due to contaminated medical equipment. Neonatal sepsis caused by this organism is rare. Late onset sepsis in neonatal intensive care units due to contaminated parenteral nutrition solutions has been reported. This case report describes early onset sepsis due to P. agglomerans in an extremely preterm neonate, with no known maternal risk factors. The patient had a fulminant clinical course, multiorgan involvement and multiple serous cavity effusions. Timely antibiotics, supportive treatment and the use of neonatologist-performed bedside point-of-care ultrasound played an important role in management of complications and survival.

  • Neonatal health
  • Neonatal and paediatric intensive care
  • Materno-foetal medicine

https://doi.org/10.1136/bcr-2024-261967

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: AK, SD, SVD, PS. The following authors gave final approval of the manuscript: AK, SD, SVD, PS. PS is the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.