Cargando…

Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature

Hospital-acquired infections and their consequences are the main cause of morbidity/mortality in critically ill and immunocompromised patients. It becomes interesting when an unusual and uncommon microorganism is found to be the causative agent, rather than the known commensals and opportunists. We...

Descripción completa

Detalles Bibliográficos
Autores principales: Panditrao, Mridul, Panditrao, Minnu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319053/
https://www.ncbi.nlm.nih.gov/pubmed/30662137
http://dx.doi.org/10.4103/aer.AER_147_18
_version_ 1783385002490200064
author Panditrao, Mridul
Panditrao, Minnu
author_facet Panditrao, Mridul
Panditrao, Minnu
author_sort Panditrao, Mridul
collection PubMed
description Hospital-acquired infections and their consequences are the main cause of morbidity/mortality in critically ill and immunocompromised patients. It becomes interesting when an unusual and uncommon microorganism is found to be the causative agent, rather than the known commensals and opportunists. We present such a case, when a multiparous female, in post lower uterine segment cesarean section period presented with fulminant septic shock, hepatic failure, coagulopathy, and ventilator-associated pneumonitis. The organism grown in the tracheal secretions turned out to be an uncommon, unusual Gram-negative Coccobacillus by the name of Pantoea dispersa, resistant to almost all the conventional antimicrobial agents. In spite of all the efforts, the patient could not be saved. However, the case has opened up a virtual “Pandora's box” of questions. Are these microorganisms, known plant pathogens, really harmful to humans? Are they commensals or virulent opportunists? Are we once again on the way to a new “Acinetobacter,” like near-epidemic? This is an attempt to try and find some insight about this presently uncommon and not well known genus of Pantoea! We have tried to trace and review the related available literature in the clinical medicine.
format Online
Article
Text
id pubmed-6319053
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-63190532019-01-18 Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature Panditrao, Mridul Panditrao, Minnu Anesth Essays Res Case Report Hospital-acquired infections and their consequences are the main cause of morbidity/mortality in critically ill and immunocompromised patients. It becomes interesting when an unusual and uncommon microorganism is found to be the causative agent, rather than the known commensals and opportunists. We present such a case, when a multiparous female, in post lower uterine segment cesarean section period presented with fulminant septic shock, hepatic failure, coagulopathy, and ventilator-associated pneumonitis. The organism grown in the tracheal secretions turned out to be an uncommon, unusual Gram-negative Coccobacillus by the name of Pantoea dispersa, resistant to almost all the conventional antimicrobial agents. In spite of all the efforts, the patient could not be saved. However, the case has opened up a virtual “Pandora's box” of questions. Are these microorganisms, known plant pathogens, really harmful to humans? Are they commensals or virulent opportunists? Are we once again on the way to a new “Acinetobacter,” like near-epidemic? This is an attempt to try and find some insight about this presently uncommon and not well known genus of Pantoea! We have tried to trace and review the related available literature in the clinical medicine. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6319053/ /pubmed/30662137 http://dx.doi.org/10.4103/aer.AER_147_18 Text en Copyright: © 2018 Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Panditrao, Mridul
Panditrao, Minnu
Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature
title Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature
title_full Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature
title_fullStr Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature
title_full_unstemmed Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature
title_short Pantoea dispersa: Is it the Next Emerging “Monster” in our Intensive Care Units? A Case Report and Review of Literature
title_sort pantoea dispersa: is it the next emerging “monster” in our intensive care units? a case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319053/
https://www.ncbi.nlm.nih.gov/pubmed/30662137
http://dx.doi.org/10.4103/aer.AER_147_18
work_keys_str_mv AT panditraomridul pantoeadispersaisitthenextemergingmonsterinourintensivecareunitsacasereportandreviewofliterature
AT panditraominnu pantoeadispersaisitthenextemergingmonsterinourintensivecareunitsacasereportandreviewofliterature