{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:46:04Z","timestamp":1787071564141,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Introduction and Importance:<\/jats:title>\n \n Pantoea agglomerans<\/jats:italic>\n , a yellow-pigmented, gram-negative aerobic non-sporing bacillus belonging to the family Enterobacteriaceae, is an opportunistic pathogen often associated with infections in immunocompromised individuals. This report highlights a case of\n P. agglomerans<\/jats:italic>\n identified in the peritoneal fluid of a 35-year-old female with a chronic abdominal sinus. The organism was sensitive to most antibiotics, and the patient responded well to empirical treatment with cefoperazone\/sulbactum. This case underscores the importance of accurate microbial identification in guiding effective treatment strategies. The patient was well managed at a tertiary care setting in an academic institute.\n <\/jats:p>\n <\/jats:sec>\n \n Clinical Presentation:<\/jats:title>\n A 35-year-old female with a history of abdominal tuberculosis diagnosed 1.5 years ago and treated with anti-tubercular therapy (ATT) presented to the OPD with persistent lower abdominal pain, high-grade fever, and distension for two months. She later developed an inflammatory umbilical lesion with fever, followed by a discharging sinus in the left lower abdomen. Her medical history is unremarkable, with no significant past surgical interventions, smoking, alcohol use, or comorbidities.<\/jats:p>\n <\/jats:sec>\n \n Case Discussion:<\/jats:title>\n \n Pantoea agglomerans<\/jats:italic>\n , an environmental organism commonly found in plants, soil, and water, is a low-virulence pathogen that can cause infections in immunocompromised individuals or after invasive procedures. It has been associated with wound infections, abscesses, pneumonia, urinary tract infections, septic arthritis, and osteomyelitis. In this case, the patient\u2019s history of abdominal tuberculosis likely created a favourable environment for secondary infection, potentially facilitated by gastrointestinal translocation. Accurate identification using the VITEK system and successful treatment with cefoperazone\/sulbactam highlight the importance of advanced diagnostics and appropriate antibiotic therapy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n This case highlights the importance of considering opportunistic pathogens like\n Pantoea agglomerans<\/jats:italic>\n in chronic infections, emphasizing accurate microbial identification and susceptibility testing for effective therapy and optimal outcomes.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_109_25","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T15:04:55Z","timestamp":1758639895000},"page":"3589-3591","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Identification of Pantoea agglomerans in a patient with chronic abdominal sinus"],"prefix":"10.4103","volume":"14","author":[{"given":"Krati","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumari N.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul R.","family":"Rukadikar","sequence":"additional","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Hada","sequence":"additional","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aroop","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parul","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinayak","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Munshiratan Institute of Gastroenterology and Cancer, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"R1-20250924","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1001\/archinte.162.1.97","article-title":"Paradoxical reactions of tuberculosis in patients with the acquired immunodeficiency syndrome who are treated with highly active antiretroviral therapy","volume":"162","author":"Navas","year":"2002","journal-title":"Arch Intern Med"},{"key":"R2-20250924","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.arbres.2010.02.010","article-title":"Documento de consenso sobre diagn\u00f3stico, tratamiento y prevenci\u00f3n de la tuberculosis","volume":"46","author":"Gonz\u00e1lez-Mart\u00edn","year":"2010","journal-title":"Arch Bronconeumol"},{"key":"R3-20250924","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4236\/health.2010.23025","article-title":"Rapid immunodiagnostic assays for Mycobacterium Tuberculosis infection","volume":"02","author":"Talaat","year":"2010","journal-title":"Health"},{"key":"R4-20250924","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1136\/adc.88.6.542","article-title":"Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury;case report and literature review","volume":"88","author":"Kratz","year":"2003","journal-title":"Arch Dis Child"},{"key":"R5-20250924","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1097\/01.inf.0000202211.64017.c6","article-title":"Pantoea agglomerans sepsis after rotavirus gastroenteritis","volume":"25","author":"Cicchetti","year":"2006","journal-title":"Pediatr Infect Dis J"},{"key":"R6-20250924","doi-asserted-by":"crossref","first-page":"633","DOI":"10.25259\/IJDVL_1069_19","article-title":"Wound infection by Pantoea agglomerans after penetrating plant injury","volume":"88","author":"Olmos-Alpiste","year":"2022","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R8-20250924","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.jiph.2017.07.020","article-title":"Clinical and microbiological characteristics of Pantoea agglomerans infection in children","volume":"11","author":"B\u00fcy\u00fckcam","year":"2018","journal-title":"J Infect Public Health"},{"key":"R9-20250924","doi-asserted-by":"crossref","first-page":"6","DOI":"10.5604\/12321966.1196848","article-title":"Pantoea agglomerans:A mysterious bacterium of evil and good. Part II--Deleterious effects:Dust-borne endotoxins and allergens--focus on grain dust, other agricultural dusts and wood dust","volume":"23","author":"Dutkiewicz","year":"2016","journal-title":"Ann Agric Environ Med"},{"key":"R10-20250924","first-page":"337","article-title":"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","volume":"39","author":"Gavini","year":"1989","journal-title":"Int J Syst Evol Microbiol"},{"key":"R11-20250924","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1128\/JCM.00632-07","article-title":"Pantoea agglomerans, a plant pathogen causing human disease","volume":"45","author":"Cruz","year":"2007","journal-title":"J Clin Microbiol"},{"key":"R12-20250924","first-page":"243","article-title":"Serratia marcescens \u2013A rare opportunistic nosocomial pathogen and measures to limit its spread in hospitalized patients","volume":"7","author":"Khanna","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"R13-20250924","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jmii.2012.05.005","article-title":"Bacteremia caused by Pantoea agglomerans at a medical center in Taiwan, 2000-2010","volume":"46","author":"Cheng","year":"2013","journal-title":"J Microbiol Immunol Infect"},{"key":"R14-20250924","doi-asserted-by":"crossref","first-page":"386","DOI":"10.4103\/0377-4929.101754","article-title":"Pantoea agglomerans infection behaving like a tumor after plant thorn injury:An unusual presentation","volume":"55","author":"Jain","year":"2012","journal-title":"Indian J Pathol Microbiol"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_109_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:48:24Z","timestamp":1787068104000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_109_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_109_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-01-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}