Claws and effect: A case of Pantoea Agglomerans endocarditis following a cat scratch and literature review

Abstract

Pantoea Agglomerans is an environmental gram-negative aerobic bacillus in the Enterobacteriaceae family. Typically, it is not responsible for infections in humans. We present the case of an immunocompetent patient who developed Pantoea Agglomerans bacteremia, Cardiovascular Implantable Electronic Device (CIED)-related endocarditis, and cholecystitis following a cat scratch. Following this case, we performed a review of the available literature regarding Pantoea Agglomerans. Overall, infections in humans are very well-treated with few strains of Pantoea Agglomerans demonstrating resistance to antimicrobial therapy. Learning objective: Recognize uncommon bacterial etiologies of endocarditis and review treatment modalities for Pantoea infections.

Keywords

• Endocarditis
• Pantoea agglomerans
• Bacteremia
• Hardware infection
• Device infection
• Pacemaker infection