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Pantoea dispersa rhinosinusitis: clinical aspects of a rare sinonasal pathogen

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

There is no report in the literature targeting the role of Pantoea dispersa in rhinosinusitis and P. dispersa has not been identified as a commensal bacterium in the sinonasal cavity. We aimed to investigate the role of P. dispersa in rhinosinusitis.

Methods

We retrospectively reviewed the data of patients diagnosed with rhinosinusitis at a medical center in Taiwan.

Results

A total of 274 rhinosinusitis patients underwent sinus culture between July 2017 and July 2019. All 23 patients with acute P. dispersa rhinosinusitis experienced purulent rhinorrhea; three (13%) had nasal obstruction, but none had olfactory dysfunction, facial pressure/pain and nasal polyp. The patients with P. dispersa received a significantly shorter duration of antibiotic treatment (19.9 ± 2.6 vs. 28.9 ± 2.5 days, P = 0.015) and had lower surgery rate (0% vs. 16.7%, P = 0.043) than other patients. Patients with olfactory dysfunction were more likely to receive surgical treatment (P = 0.018).

Conclusion

Acute rhinosinusitis caused by P. dispersa resulted in less surgical interventions and shorter treatment durations. Olfactory dysfunction may imply longer course and possibility for surgical intervention in chronic rhinosinusitis. The present study revealed that P. dispersa had the potential to colonize in human sinonasal cavities and cause rhinosinusitis.

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Availability of data and material

The data supporting the findings of this study are available within the article and supplementary materials. Additional clinical data are available from the corresponding author on reasonable request.

Code availability

Not applicable.

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Funding

The study was supported in part by Ministry of Science and Technology of Taiwan (Grant number MOST 109-2314-B-075-022) and Taipei Veterans General Hospital (Grant numbers V110B-025 and V111B-006).

Author information

Authors and Affiliations

  1. Department of Medical Education, Taipei Veterans General Hospital, 11217, Taipei, Taiwan

    Yi-Wen Su

  2. Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., 11217, Taipei, Taiwan

    Wei-Hao Huang & Chien-Fu Yeh

  3. Department of Otolaryngology, National Yang Ming Chiao Tung University School of Medicine, 11221, Taipei, Taiwan

    Chien-Fu Yeh

Authors
  1. Yi-Wen Su
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  2. Wei-Hao Huang
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  3. Chien-Fu Yeh
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Contributions

YWS and CFY conceived of the presented idea and design of study. YWS, WHH and CFY acquired the data. YWS and CFY analyzed and/or interpreted the data. YWS and CFY drafted the manuscript. CFY revised the manuscript critically for important intellectual content. YWS, WHH and CFY approved the version of the manuscript to be published.

Corresponding author

Correspondence to Chien-Fu Yeh.

Ethics declarations

Conflicts of interest/Competing interests

The funder had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. The authors have no financial relationships or conflicts of interest related to this work.

Ethics approval

The study protocol was approved by the institutional review board of the Taipei Veterans General Hospital (IRB file number: 2021–02-009BC).

Consent to participate

The informed consent was not applicable due to retrospective study. The study protocol was approved by the institutional review board of the Taipei Veterans General Hospital (IRB file number: 2021-02-009BC).

Consent for publication

The informed consent was not applicable due to retrospective study. The study protocol was approved by the institutional review board of the Taipei Veterans General Hospital (IRB file number: 2021-02-009BC).

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Cite this article

Su, YW., Huang, WH. & Yeh, CF. Pantoea dispersa rhinosinusitis: clinical aspects of a rare sinonasal pathogen. Eur Arch Otorhinolaryngol 279, 4389–4395 (2022). https://doi.org/10.1007/s00405-022-07266-1

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  • DOI: https://doi.org/10.1007/s00405-022-07266-1

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