A Rare Case of Cavitating Lung Disease

Rahul Kumar Gupta; Arjun Kumar; Mihir Gangakhedkar; Vipul Prakash; Lokesh Saini

doi:10.4103/ijrc.ijrc_75_21

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A Rare Case of Cavitating Lung Disease

Rahul Kumar Gupta, Arjun Kumar, Mihir Gangakhedkar, Vipul Prakash, Lokesh Saini

Keywords : Immunocompetent, lung cavitation, Pantoea agglomerans

Citation Information : Gupta RK, Kumar A, Gangakhedkar M, Prakash V, Saini L. A Rare Case of Cavitating Lung Disease. Indian J Respir Care 2021; 10 (3):361-363.

DOI: 10.4103/ijrc.ijrc_75_21

License: CC BY-NC-SA 4.0

Published Online: 06-12-2022

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Abstract

Pantoea rarely causes infection in human lungs. Genus Pantoea is a rare pathogen causing opportunistic human infection in clinical practice. Among seven species of this rare organism, Pantoea agglomerans is the most common species in humans and is often associated with an occupational disease. Clinically, it may present with wound infection, abscess, catheter infection, pneumonia, and urinary system infection in immunocompromised individuals. However, there are no case reports of P. agglomerans causing cavitating lung disease in the past. Here, we report a case of a 67-year-old immunocompetent female who presented with cavitating lung lesions on chest imaging which were found to be associated with P. agglomerans leading to fatal outcomes. We emphasize on the unusual presentation, its course in the hospital, and importance of early recognition of this emerging bacterial infection causing fulminant human infections even in immunocompetent individuals.

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Cheng A, Liu CY, Tsai HY, Hsu MS, Yang CJ, Huang YT, et al. Bacteremia caused by Pantoea agglomerans at a medical center in Taiwan, 2000-2010. J Microbiol Immunol Infect 2013;46:187-94.
Gavini F, Mergaert J, Beji A, Mielcarek C, Izard D, Kersters K, et al. Transfer of Enterobacter agglomerans (Beijerinck 1888) Ewing and Fife 1972 to Pantoea gen. nov. as Pantoea agglomerans comb. nov. and description of Pantoea dispersa sp. nov. Int J Syst Bacteriol 1989;39:337-45.
Delétoile A, Decré D, Courant S, Passet V, Audo J, Grimont P, et al. Phylogeny and identification of Pantoea species and typing of Pantoea agglomerans strains by multilocus gene sequencing. J Clin Microbiol 2009;47:300-10.
Schmid H, Schubert S, Weber C, Bogner JR. Isolation of a Pantoea dispersa-like strain fron a 71-year-old woman with acute myeloid leukemia and multiple myeloma. Infection 2003;31:66-7.
Hagiya H, Otsuka F. Pantoea dispersa bacteremia caused by central line-associated bloodstream infection. Braz J Infect Dis 2014;18:696-7.
Sengupta M, Banerjee S, Das NK, Guchhait P, Misra S. Early onset neonatal septicaemia caused by Pantoea agglomerans. J Clin Diagn Res 2016;10:D01-2.
Sarika J, Ishwar B, Rakesh M, Sonal J, Chugh TD. Pantoea agglomerans infection behaving like a tumor after plant thorn injury: An unusual presentation. Indian J Pathol Microbiol 2012;55:386-8.

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