Pantoea SPP is a gram-negative
bacillus, which usually colonizes plants, soil and water. This pathogen very rarely
causes neonatal sepsis. The most common infections caused by Pantoea SPP are septic
arthritis or synovitis, meningitis frequently complicated by brain abscess, upper
respiratory infections, and peritonitis. We present
the case of a premature infant who presented neonatal respiratory distress
and whose evolution was complicated by the occurrence of a nosocomial infection
for which a blood culture was performed isolating the germ Pantoea SPP. The patient’s management was initially centered
on non-invasive ventilation with antibiotherapy based on carbapenem and aminoglycoside.
Due to the clinical and biological worsening, the neonate was intubated and sedated
and put on colymicin. The evolution was unfavorable marked by a death at 16th days of life. Considering the high pathogenicity of this germ and its multi-resistance to antibiotics, it
is crucial to know the clinical spectrum of Panteoa SPP infections in neonatal intensive
care units, in order to palliate the fulminant evolution of multifocal attacks due
to this germ.
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