Wound infection by Pantoea agglomerans after penetrating plant injury

Olmos Alpiste, Ferran; Martín Ezquerra, Gemma; Pujol Vallverdú, Ramón M.

doi:http://dx.doi.org/10.25259/IJDVL_1069_19

Wound infection by Pantoea agglomerans after penetrating plant injury

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Olmos Alpiste F, Martin Ezquerra G, Pujol RM. Wound infection by Pantoea agglomerans after penetrating plant injury. Indian J Dermatol Venereol Leprol. 2022;88(5):633-5. DOI: 10.25259/IJDVL_1069_19

Abstract

Pantoea agglomerans is a ubiquitous gram-negative bacterium that has been linked to skin and joint infections secondary to plant injuries. Herein we report a 58-year-old woman who presented with 2 erythematous nodules with purulent discharge on the anterior aspect of the right leg that developed after a penetrating plant injury. The patient was initially treated with amoxicillin-clavulanic acid, cloxacillin and clindamycin without improvement. P. agglomerans was isolated from both exudate and skin biopsy cultures. Healing of the lesions was achieved after the spontaneous release of a retained plant fragment and treatment with cotrimoxazole. Identification of P. agglomerans in persistent exudative lesions should alert the clinician regarding a possible previous plant injury and retained vegetal fragments. Conventional antibiotic treatment and the extraction of retained foreign bodies usually lead to complete resolution.