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Case Reports in Pediatrics
Volume 2018, Article ID 4158734, 3 pages
https://doi.org/10.1155/2018/4158734
Case Report

Pantoea agglomerans Infections in Children: Report of Two Cases

1Department of Microbiology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
2Department of Pediatrics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Correspondence should be addressed to Shraddha Siwakoti; ude.shikpb@itokawis.ahddarhs

Received 15 September 2017; Revised 16 December 2017; Accepted 3 January 2018; Published 21 January 2018

Academic Editor: Larry A. Rhodes

Copyright © 2018 Shraddha Siwakoti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Pantoea agglomerans, primarily an environmental and agricultural organism has been reported as both commensal and pathogen of humans. We present two case reports of P. agglomerans infections in children that involved the meninges and bloodstream. Case Presentations. A 6-month-old female baby, diagnosed as congenital hydrocephalus secondary to aqueduct stenosis with ventriculoperitoneal shunt in situ, operated 14 days back was brought to the pediatric emergency with a two-day history of high fever associated with vomiting, irritability, excessive crying, and decreased feeding. Postoperative meningitis was confirmed as cerebrospinal fluid culture revealed P. agglomerans. She responded well with a 14-day intravenous (IV) course of ceftriaxone. Also, we report a case of a 3-year-old male child referred to our center with a provisional diagnosis of UTI with chickenpox for further evaluation. During his 24-hour stay at the local hospital, he had received oral antibiotics and urinary catherization. Urine culture of catheter clamp urine was sterile. P. agglomerans was grown in blood culture. He was treated successfully with IV ceftriaxone and amikacin. Conclusion. P. agglomerans can cause postsurgical meningitis and bloodstream infection in children. The clinical course of infection was mild and timely administration of proper antibiotic resulted in a favorable outcome.