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Unveiling the prevalence and antimicrobial resistance landscape of Pantoea genus in veterinary clinical strains: Insights from a cohort study Ondrej Holy a,* , Vladimir Sladecek b , Jaroslav Bzdil b , Monika Zouharova c , Julio Parra-Flores d , C´ atia Caneiras e,f,g a Science and Research Centre, Faculty of Health Sciences, Palacky University Olomouc, Hnevotinska 3, Olomouc 775 15, Czech Republic b Ptacy s.r.o., Valasska Bystrice 194, 756 27 Valasska Bystrice, Czech Republic c Veterinary Research Institute Brno, Department of Infectious Diseases and Preventive Medicine, Hudcova 296/70, Brno 621 00, Czech Republic d Department of Nutrition and Public Health, Faculty of Health and Food Sciences, University of Bío-Bío, Chile e Environmental Health Microbiology Laboratory, TERRA Associate Laboratory, Institute of Environmental Health (ISAMB), Faculty of Medicine, University of Lisbon, Lisbon, Portugal f Egas Moniz Centre for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Monte da Caparica, Portugal g Institute of Preventive Medicine and Public Health, Faculty of Medicine, University of Lisbon, Lisbon, Portugal ARTICLE INFO Keywords: Animal Environment Pantoea agglomerans One health Public health Antimicrobial resistance ABSTRACT The genus Pantoea, of which Pantoea agglomerans is the most common species, is an emerging Gram-negative facultative anaerobic bacillus that causes a wide range of opportunistic infections. To date, the prevalence, antibiotic resistance, and pathogenic potential of this bacterium in animals remains largely unexplored. The aim of this work was to describe the prevalence of microorganisms of the genus Pantoea in clinical samples obtained from animals during the period 2015–2017 and to define their susceptibility to antimicrobial agents. In the monitored period, a total of 23,739 clinical samples obtained from animals in the Czech Republic with symptoms of disease were tested, from which 151 Pantoea genus were isolated (prevalence 0.63 %). Cultivation and incubation were carried out under aerobic conditions by culture methods using massopeptone blood agar, Endo’s agar and xylose lysine deoxycholate agar at 37 ±1 ◦C for 24 h. Suspect strains were confirmed by matrix-assisted laser desorption/ionization coupled to time-of-flight mass spectrometry (MALDI-TOF MS). Susceptibility testing was performed by the standard disk diffusion method using Mueller-Hinton agar. Pantoea strains were recovered from domestic horses, carnivores (dogs, cats) and rodents (prevalence of 6.78, 1.64 and 1.12 % respectively). Resistance to beta-lactam antimicrobials was detected in 12 strains. In addition to beta-lactams, resistance to cotrimoxazole was detected in 1 case and to co-trimoxazole and chloramphenicol in 1 case, highlights the need to monitor the emergence of this strain in the context of the One Health approach. 1. Introduction In recent years, even in veterinary practice, there has been an increasing recognition of microorganisms previously considered saprophytic, now isolated from pathological processes and lesions in animals. Among them are species from the genus Pantoea, part of the Enterobacteriaceae family. This genus includes diverse species such as Pantoea agglomerans and Pantoea ananatis, commonly found in a wide range of ecological environments [1]. The genus Pantoea displays remarkable ecological versatility. Pantoea strains can act as plant symbionts, promoting growth through nitrogen fixation in their leaves and roots, phytohormone production, and disease suppression [1–3]. In particular, P. agglomerans produces many antimicrobial compounds, such as herbicolin, pantocins, microcin, agglomerins, andrimid and phenazine, which are active against both Gram-positive and Gram-negative microorganisms [3]. In addition, some Pantoea species contribute to environmental bioremediation of soil, water and sediments through their ability to degrade contaminants (e.g., phenol, mesotrione, hydrocarbons) and absorb heavy metals such as copper, chromium, cadmium and arsenic [1]. In insects, including bees, Pantoea strains are symbionts found in the ovaries and digestive tract of each individual and can have a positive effect on the process of metamorphosis and play an important role in their defence against insect pathogens and predators as defensive * Corresponding author. E-mail address: [email protected] (O. Holy). Contents lists available at ScienceDirect One Health journal homepage: www.elsevier.com/locate/onehlt https://doi.org/10.1016/j.onehlt.2025.101130 Received 25 March 2025; Received in revised form 3 July 2025; Accepted 3 July 2025 One Health 21 (2025) 101130 Available online 7 July 2025 2352-7714/© 2025 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ ).
symbionts [4,5]. These bacteria help in nutrient synthesis, detoxification of plant defences, and digestion of lignocellulosic plant matter [6,7]. Lipopolysaccharide IP-PA1, which activates macrophages, has a wide spectrum of effects and can be used in the prevention and treatment of cancer, hyperlipidemia, diabetes, ulcers, various infectious diseases, atopic allergies and stress-induced immunosuppression in humans and animals. In addition, IP-PA1 has an analgesic effect [8] and can even inhibit morphine dependence [9]. Conversely, Pantoea genus also includes pathogenic strains. Several species such as P. vagans, P. eucalypti, P. deleyi, P. anthophila, P. agglomerans, P. ananatis, and P. allii can cause plant diseases such as blight in eucalyptus, brown stalk rot in corn, and postharvest onion rots [10,11]. Human infections have also been documented in the literature. Neonatal septicaemia caused by P. agglomerans and sepsis caused by P. dispersa have been described, some of which were fatal [12,13]. Other authors recovered 53 strains of P. agglomerans from human patients, of which 23 were from blood cultures, 14 from abscesses, 10 from bones and joints, 4 from the urinary tract, 1 from the peritoneum, and 1 from the chest. Findings were often associated with penetrating trauma associated with plant material and catheter-related bacteraemia [14]. Other authors described 14 findings of P. agglomerans from human patients, of which in 5 cases from wound infections, in 3 cases from urinary infections, in 3 cases from pneumonia and 1 case each from furuncle, bacteraemia and catheter infection [15]. Human infections of the endocardium, muscles, eye tissues, as well as nosocomial infections have also been described [16]. In animals, reports are limited but increasing. P. agglomerans has been isolated from equine placentitis [17] and hemorrhagic disease in dolphin fish (Coryphaena hippurus) [18]. In 2021, virulence factors such as the type VI secretion system, hemolysin, filamentous hemagglutinin as well as genes involved in iron uptake and sequestration were revealed by whole-genome sequencing in the P. agglomerans KM1 strain. Moreover, genes involved in the adaptation of the pathogen to environmental stress were also identified, which included factors ensuring resistance to osmotic lysis, oxidative stress, as well as heat and cold shock [19]. Antimicrobial resistance in P. agglomerans is variable. Some studies report resistance of up to 7.5 % to cephalosporins or semisynthetic penicillins in paediatric patients [14,20], while others document multidrug-resistant strains recovered from paediatric infections, with resistance to penicillins, cephalosporins, aminoglycosides, fluoroquinolones, and carbapenems [15]. Whole-genome sequencing analyses have identified resistance genes encoding resistance to antibiotics such as penicillin G, bacitracin, rifampicin, vancomycin and fosfomycin [19]. Given its complex profile—ranging from beneficial symbiont to opportunistic pathogen—the genus Pantoea underscores the significance for public health and highlights the relevance of the One Health concept, which recognises the interconnectedness of human, animal, and environmental health. Understanding the dual role of Pantoea species as both beneficial microbes and emerging pathogens is essential, as it underscores the need for vigilant monitoring, appropriate antimicrobial stewardship, and integrative, multidisciplinary strategies to address public health challenges effectively [21]. This work describes the occurrence of microorganisms of the genus Pantoea in clinical samples obtained from pathological processes and lesions in various organs and organ systems of animals in the period 2015–2017, and at the same time shows their sensitivity to commonly used antimicrobial substances. 2. Material and methods A total of 23,739 samples of clinical veterinary material were examined on the territory of the Czech Republic during the observation period 2015–2017. All samples were collected from the skin, respiratory system, genitourinary system, digestive system, mammary gland, musculo-skeletal system, nervous system, eyes and bee brood by trained veterinarians during routine examinations of animals with disease symptoms according to standard sampling protocols. The exact number of samples to be examined is given in Tables 1 and 2. Inclusion criteria comprised samples collected from animals showing clinical symptoms within the study period and region, following standard protocols by trained personnel. Samples had to be transported under conditions preserving their integrity (at 4 ◦C within 24 h). Exclusion criteria included samples lacking proper documentation or collected outside established protocols; those contaminated or compromised during collection or transport; samples from asymptomatic animals or animals not part of routine examinations; and samples obtained outside the designated timeframe or geographical area. Moreover, ethical considerations emphasized responsible sampling practices: procedures were limited to routine diagnostic needs; all personnel involved were trained in proper techniques and animal handling; informed consent was obtained from owners or caretakers; and confidentiality of animal and owner data was maintained. Efforts were made to minimize animal distress through appropriate methods, and all procedures adhered to national and institutional animal welfare regulations. All samples were examined by cultivation methods on meat peptone blood agar (MPBA) Endo agar (EA) and xylose lysine deoxycholate agar (XLD) (all Trios Ltd. Prague, Czech Republic) and plates were incubated aerobically at 37 ±1 ◦C for 24 h. The colonies of suspected Gram-negative microorganisms were isolated on MPBA and pure microbial cultures were identified using phenotypic molecular mass spectrometry, i.e., matrix-assisted laser desorption/ionization coupled to time-of-flight mass spectrometry (MALDI-TOF MS) using a Microflex LT System spectrometer (Bruker Daltonik GmbH & Co. KG, Bremen, Germany), based on proteomics analyses, and MALDI Biotyper software MBT Compass 4.1 (Bruker Daltonik GmbH & Co. KG, Bremen, Germany). Selected strains were tested for susceptibility to antimicrobials by disc diffusion method. The Mueller-Hinton agar (Trios Ltd. Prague, Czech Republic) and antibiotic discs were used for testing (Oxoid Ltd., Basingstoke, UK). Tested antibiotics were chloramphenicol (30 μ g) tetracycline (30 μ g), ampicillin (10 μ g), neomycin (30 μ g), gentamicin (10 μ g), cefalexin (30 μ g), enrofloxacin (5 μ g), amoxicillin/clavulanic acid (30 μ g), colostin sulphate (10 μ g) and trimethoprim/sulfamethoxazole (1.25/23.75 μ g per disc). Tests were assessed after 18–24 h of incubation at 37 ±1 ◦C. The interpretation of values accordance to Clinical and Laboratory Standards Institute (CLSI) [22], European Committee on Antimicrobial Susceptibility Testing (EUCAST) standards [23], and literary published data [24] was performed. All used discs and mediums with reference strains Escherichia coli (ATCC 25922) and Staphylococcus aureus (ATCC 25923) were tested. The Enterobacteriaceae reference values are shown in Table 3. Descriptive statistics were used to calculate the prevalence of Pantoea spp. across animal species and organ systems. Prevalence was expressed as the percentage of positive samples out of the total number examined. To assess whether differences in prevalence among species and organ systems were statistically significant, Pearson’s chi-square ( χ 2 ) test was performed. A p-value of <0.05 was considered statistically significant. In addition, 95 % confidence intervals (CI) for prevalence estimates were calculated using the Wilson score method to account for variability, particularly in groups with small sample sizes. All statistical analyses were conducted using software IBM SPSS Statistics version 30. 3. Results The study of the prevalence and fenotypic resistance characterization of Pantoea strains in animal populations provides critical insights into the complex dynamics of this pathogen, revealing its potential impact on the animals, environment and human health. From a total of 23,739 samples of clinical veterinary material obtained in the years O. Holy et al. One Health 21 (2025) 101130 2
2015–2017, 151 strains of Pantoea spp., a probable species of Pantoea agglomerans (prevalence 0.63 %), were isolated from these materials. The MALDI TOF MS value score for the detected strains ranged between 2.003 and 2.259 (all secure genus identification and probable species identification). For 18 strains, pure cultures of the causative agent grown in strong intensity were recorded in the examined materials, of which in 16 cases a solo occurrence was recorded in dogs, in 1 case in ruminants and in 1 case in an ornamental bird. In the remaining cases, Pantoea spp. strains were present in a mixture with 1 to 4 other types of microorganisms. From domestic carnivores, 4643 clinical samples were examined and a total of 76 strains (prevalence 1.64 %) of Pantoea spp. Most strains (n =71) were isolated from dogs (Canis familiaris). In dogs, the most frequent detections were in skin swabs, ear swabs and nasal swabs (n = 37, 11 and 7 respectively). Isolations from eye swabs, rectal swabs, bronchial lavages, claw swabs and skin abscesses were less common (n Table 1 Prevalence of Pantoea agglomerans in the observed groups of animals and organ systems in the period 2015–2017. Animal Organ system Number of examined samples Number of positive samples Prevalence (%) 95 % Confidence Intervals Wilson (%) Carnivores (dog, cat) Skin 1853 54 2.91 2.23–3.77 Respiratory 618 11 1.78 1.00–3.17 Urogenital 377 0 0 0.00–0.98 Digestive 1436 3 0.21 0.07–0.65 Eye 337 8 2.37 1.20–4.61 Musculoskeletal 22 0 0 0.00–14.87 Total 4643 76 1.64 1.31–2.04 Ruminants (cattle, goat) Skin 31 2 6.45 1.79–20.55 Respiratory 355 19 5.35 3.45–8.20 Urogenital 128 0 0 0.00–2.85 Digestive 632 1 0.16 0.03–0.88 Eye 157 0 0 0.00–2.34 Mammary gland 8822 6 0.07 0.03–0.15 Musculoskeletal 3 0 0 0.00–56.20 Total 10,128 28 0.28 0.19–0.40 Solipeds (horse) Skin 92 5 5.43 2.34–12.18 Respiratory 96 11 11.46 6.49–19.41 Urogenital 9 1 11.11 1.98–43.47 Digestive 48 0 0 0.00–7.37 Eye 32 3 9.38 3.24–24.00 Musculoskeletal 18 0 0 0.00–17.64 Total 295 20 6.78 4.43–10.24 Rodents and Lagomorphs (rabbit, hare, Guinea pigs) Skin 153 3 1.96 0.67–5.59 Respiratory 230 5 2.17 0.94–4.93 Urogenital 125 1 0.8 0.14–4.36 Digestive 251 0 0 0.00–1.51 Eye 136 1 0.74 0.13–4.09 Total 895 10 1.12 0.61–2.04 Pigs Skin 72 0 0 0.00–5.03 Respiratory 169 1 0.59 0.10–3.25 Urogenital 60 0 0 0.00–6.02 Digestive 231 0 0 0.00–1.63 Eye 42 0 0 0.00–8.31 Musculoskeletal 18 1 5.56 0.99–25.76 Nervous 1 1 100.0 20.65–100.00 Total 593 3 0.51 0.17–1.48 Birds (poultry, water poultry, avian pets) Skin 32 0 0 0.00–10.85 Respiratory 86 0 0 0.00–4.25 Urogenital 44 0 0 0.00–7.92 Digestive 6709 12 0.18 0.10–0.31 Eye 36 0 0 0.00–9.57 Musculoskeletal 12 0 0 0.00–26.47 Total 6919 12 0.17 0.10–0.30 Insects (bee) Bee brood 266 2 0.75 0.21–2.70 Total 266 2 0.75 0.21–2.70 Table 2 Prevalence of Pantoea spp. in all observed animals groups and organ systems in the period 2015–2017. Animal Organ system Number of examined samples Number of positive samples Prevalence (%) 95 % CI Wilson (%) All animals Respiratory 1554 47 3.02 2.28–4.00 Skin 2233 64 2.87 2.25–3.64 Eye 740 12 1.62 0.93–2.81 Musculoskeletal 73 1 1.37 0.24–7.36 Bee brood 266 2 0.75 0.21–2.70 Urogenital 743 2 0.27 0.07–0.98 Digestive 9307 16 0.17 0.11–0.28 Mammary gland 8822 6 0.07 0.03–0.15 Nervous 1 1 100.0 *20.65–100.0 Total 23,739 151 0.64 0.54–0.75 * Note: The 100 % prevalence in the nervous system is based on only one sample, and thus should be interpreted with caution. O. Holy et al. One Health 21 (2025) 101130 3
=7, 3, 2, 2 and 2 respectively). 5 strains were isolated from cats (Felis catus), 2 from a nasal swab, 2 from a skin swab and 1 from an eye. Pathological lesions were the most diverse of all animals in carnivores. Among the respiratory symptoms, rhinitis, purulent rhinitis, chronic rhinitis, haemorrhagic rhinitis, long-term cough, sinusitis, chronic nasal discharge were recorded, the eyes showed symptoms of acute conjunctivitis, the symptoms of skin diseases were very rich, manifested by purulent, alopecia, squamous, recurrent dermatitis, by the formation of abscesses, deep pyodermas, non-healing lesions, chronic and recurrent otitis media, or exungulation of claws. Repeated watery diarrhoea has been described when the digestive system is affected. Regarding domestic ruminants, 10,128 clinical samples were examined in the monitored period, from which a total of 28 strains of Pantoea spp. (prevalence 0.28 %), of which 20 from cattle (Bos taurus) and 8 from goats (Capra hircus). In the case of cattle, 6 isolates came from nasal swabs and 2 isolates from tracheal swab and 2 from bronchioalveolar lavage of calves, 5 isolates from milk, 3 from nasal swab, and 1 from bronchial lavage of dairy cows. One isolate came from the nasal swab of a bull. Of the 8 strains isolated from goats, 4 isolates came from nasal swab, 2 from skin, 1 from pharyngeal swab and 1 from milk. Symptoms of acute mastitis, difficulty breathing, cough, rhinitis, pneumonia and other unspecified respiratory diseases were recorded in the cattle. In goats, rhinitis, cough, hoarseness, dermatitis and acute mastitis. The domestic equids represented by horses (Equus caballus f. caballus), 295 clinical samples were examined, from which a total of 20 strains of Pantoea spp. (prevalence 6.78 %), of which 9 isolates came from nasal swabs, 2 from sputum, 3 from eye swabs, 5 isolates from skin swabs and 1 from urine. Respiratory problems, cough, recurrent discharge from the nostrils, rhinitis chronica, bronchopneumonia, conjunctivitis, dermatitis and dermatitis chronica and cystitis were recorded as pathological processes in horses. This is relevant because the involvement of P. agglomerans that has previously been documented as a cause of bacterial placentitis, but recently it has been evidenced as a cause of abortion in horses [25]. From domestic rodents and hares (rabbit, guinea pig, hare), 895 clinical samples were examined and a total of 10 strains of Pantoea spp. (prevalence 1.12 %) of which 1 strain from a hare (Lepus europaeus) testicle smear, 1 strain from a guinea pig (Cavia aperea f. porcellus) skin smear. A total of 8 strains were isolated from rabbits (Oryctolagus cuniculus f. domestica), of which 5 strains came from nasal swabs, 1 strain from the eye and 2 strains from ear swabs. Purulent orchitis was noted in a hare. In rabbits, acute rhinitis was diagnosed in 3 cases, rhinitis chronica in 1 case, bronchitis chronica in 1 case, otitis in 2 cases and swelling of the eyes and nostrils in 1 case. The guinea pig showed symptoms of apruritic dermatitis. A total of 593 clinical samples from pigs (Sus scrofa f. domestica) were examined in the monitored period and 3 strains of Pantoea spp. (prevalence 0.51 %). One strain came from a nasal swab, one from a joint punctate, and one from cerebrospinal fluid. Symptoms of bronchopneumonia, arthritis and meningitis have been reported. From birds (waterfowl, ratites, ornamental birds), 6919 clinical samples were examined and 12 strains of Pantoea spp. (prevalence 0.17 %). One isolate from budgerigar (Melopsittacus undulatus) organ smears, one isolate from liver smear from pigeon (Columba livia f. domestica), two isolates from liver smear from hen (Gallus gallus f. domestica), one isolate from cloacal swab of a shrike (Urocissa erythrorhyncha), one from bearded dragon droppings (Lybius dubius), one from muskrat droppings (Cairina moschata f. domestica), one from nestling droppings (Nestor notabilis), one from goose droppings (Alopochen aegyptiacus), one from neophema droppings (Neophema pulchella) and two from cloacal swabs and droppings of an unspecified parrot species. Diarrheal diseases accompanied by cachexia or anaemia were diagnosed in all cases in the above-mentioned birds. In the case of insects, 266 bee brood samples were examined in the monitored period and 2 strains of Pantoea spp. were isolated. (prevalence 0.75 %), from two bee colonies (Apis mellifera) in which brood death was recorded and American foulbrood was suspected. Tables 1 and 2 show a precise overview of the numbers of examined samples and prevalence according to individual groups of animals and organs. Of the 18 strains grown in pure cultures, 16 strains were isolated at high intensity from dogs, 1 from a calf and 1 from a parrot. A total of 8 of them were isolated from skin lesions, of which seven cases were diagnosed with acute dermatitis, one case with squamous dermatitis and one case with pustular dermatitis. In 4 cases, strains were isolated from the external auditory canal and symptoms of otitis externa acute were described in two cases, otitis externa chronica in one case, and otitis externa sicca in one case. In 3 cases, the strains came from eye smears, of which conjunctivitis acuta was diagnosed in two cases, and corneal opacity with the formation of corneal erosions in one case. In 1 case, the isolate was obtained from a nasal swab with a diagnosis of rhinitis purulent. In 1 case, a pure culture was isolated from the nasal swab of a calf with symptoms of acute bronchopneumonia and in 1 case from the droppings of a Nestor notabilis parrot with symptoms of watery diarrhoea. To assess the distribution of Pantoea spp. across different animal hosts and organ systems, chi-square tests and 95 % confidence intervals (CIs) were used to evaluate statistical significance and estimate prevalence reliability. The prevalence of Pantoea spp. differed significantly among animal species ( χ 2 =297.39, df =6, p <0.001). The highest prevalence was observed in horses (6.78 %; 95 % CI: 4.43–10.24 %), followed by carnivores (1.64 %; 95 % CI: 1.31–2.04 %) and rodents/ lagomorphs (1.12 %; 95 % CI: 0.61–2.04 %). The lowest rates were recorded in birds (0.17 %; 95 % CI: 0.10–0.30 %), ruminants (0.28 %; 95 % CI: 0.19–0.40 %), and pigs (0.51 %; 95 % CI: 0.17–1.48 %). The results are shown in Fig. 1. These results confirm non-random speciesspecific variation in Pantoea spp. detection. Significant variation was also observed across organ systems ( χ 2 = 562.56, df =8, p <0.001). The respiratory tract (3.02 %; 95 % CI: 2.28–4.00 %) and skin (2.87 %; 95 % CI: 2.25–3.64 %) had the highest prevalence. Other affected systems included the eye (1.62 %; 95 % CI: 0.93–2.81 %), musculoskeletal system (1.37 %; 95 % CI: 0.24–7.36 %), and bee brood (0.75 %; 95 % CI: 0.21–2.70 %). The digestive (0.17 %; 95 % CI: 0.11–0.28 %), urogenital (0.27 %; 95 % CI: 0.07–0.98 %), and mammary gland systems (0.07 %; 95 % CI: 0.03–0.15 %) showed the lowest prevalence. While the nervous system exhibited a 100 % positivity rate, this was based on a single sample and should be interpreted cautiously. Table 3 Susceptibility table - reference values for Enterobacteriaceae. Antimicrobials Antibiotics concentration per disc ( μ g) Diameter (mm) R S Source Amoxicillin/clavulanic acid (Enterobacteriaceae) 20/10 ≤13 ≥18 CLSI VET 01 S (2018) Ampicillin (Enterobacteriaceae) 10 ≤13 ≥17 CLSI VET 01 S (2018) Cefalexin (Enterobacteriaceae) 30 <14 ≥14 EUCAST (2022) Neomycin (Enterobacteriaceae) 30 ≤15 ≥17 CASFM VET (2018) Gentamicin (Enterobacteriaceae) 10 ≤12 ≥16 CLSI VET 01 S (2018) Chloramphenicol (Enterobacteriaceae) 30 ≤12 ≥18 CLSI VET 01 S (2018) Tetracycline (Enterobacteriaceae) 30 ≤11 ≥15 CLSI VET 01 S (2018) Enrofloxacin (Enterobacteriaceae) 5≤16 ≥23 CLSI VET 01 S (2018) Colistin (Enterobacteriaceae) 10 ≤11 ≥14 Galani et al. (2008) *Trimethoprim/ sulfamethoxazole (Enterobacteriaceae) 1.25/23.75 ≤10 ≥16 CLSI VET 01 S (2018) S=Susceptible; R =Resistant; * Co-trimoxazole. O. Holy et al. One Health 21 (2025) 101130 4
Together, these results highlight distinct patterns in host and tissue susceptibility to Pantoea spp., reinforcing the importance of targeted surveillance and the potential for speciesand organ-specific pathogenicity in veterinary contexts. The best sensitivities of isolated strains of Pantoea spp. were detected to tetracycline, gentamicin, enrofloxacin, neomycin and colistin (100 % sensitive strains), antimicrobial resistance was recorded in 14 tested strains, namely in the case of chloramphenicol, amoxicillin/clavulanic acid, ampicillin, cephalexin and co-trimoxazole (resistance 1.4, 7.3, 10.8, 11.2 and 11.8 % of tested strains respectively). Table 4 shows the summary results. In 12 cases, resistance was detected only within the group of beta-lactam antibiotics. Resistance to 2 or more groups of antimicrobial agents was evaluated as multiresistance and was detected in two isolated strains of Pantoea spp. The results are shown in Fig. 2. In the first multiresistant strain, resistance to 4 and in the second case to 5 tested antimicrobial substances was detected (see Table 5). Repeated watery diarrhoea was described in one of the multiresistant strains isolated from a rectal swab of a dog. This strain showed resistance to ampicillin, amoxicillin with clavulanic acid, cephalexin and cotrimoxazole. At the same time, E. coli was also isolated in this case in a weak intensity. In the second multiresistant strain of Pantoea spp. isolated from the skin of a dog, the formation of scales and pustules on the skin was detected. In this case, multi-resistance to ampicillin, amoxicillin with clavulanic acid, cephalexin, co-trimoxazole and chloramphenicol was noted, and it was a strain that also grew in pure culture. 4. Discussion The observed differences in Pantoea spp. prevalence across animal species and organ systems were statistically significant, suggesting nonrandom patterns of occurrence. The highest prevalence of Pantoea spp. was observed in horses (6.78 %), domestic carnivores (1.64 %), and domestic rodents, including hares (1.12 %). The high prevalence found in carnivores is unexpected, as these animals typically have limited contact with plant material compared to herbivores like ruminants, pigs, and birds. This is noteworthy given that Pantoea spp. infections in humans are frequently linked to exposure to plant material, particularly following penetrating trauma [14]. In contrast, lower prevalence rates were found in domestic birds (0.17 %), ruminants (0.28 %), and pigs (0.51 %). These findings point toward the possibility of alternative transmission routes or reservoirs in veterinary environments and supports the idea that host-specific factors, including immune status, environment, and management practices, may influence susceptibility to Pantoea colonization or infection. In terms of anatomical distribution, Pantoea spp. were most commonly found in cerebrospinal fluid samples from the nervous system (100 %), respiratory tract (3.02 %) and skin (2.87 %). However, the 100 % prevalence in the nervous system is based on a single cerebrospinal fluid sample from a pig, limiting the reliability of this observation. Nevertheless, the findings of higher prevalence in the respiratory tract and skin lesions are consistent with previously published reports of Pantoea spp. involvement in respiratory and dermatological conditions in animals and humans [15,16]. Interestingly, human scientific publications often mention the capture of Pantoea spp. from blood cultures during bacteraemia’s [12–14]. On the contrary, the lowest prevalence was recorded in our case in samples from the mammary gland (0.07 %), digestive tract (0.17 %), and urogenital tract (0.27 %). These findings support the notion that Pantoea spp., though traditionally overlooked in veterinary contexts, can be isolated from a broad spectrum of animal hosts and organs. These statistically validated trends emphasize the relevance of Pantoea spp. in clinical veterinary diagnostics and suggest a broader ecological niche than previously assumed. This aligns with earlier reports of P. agglomerans causing equine placentitis [17] and haemorrhagic disease in marine fish [18], suggesting that members of this genus may act as opportunistic animal pathogens. Our antimicrobial susceptibility data are largely consistent with previously published findings [14,20]. In contrast, some human strains of Pantoea showed more extensive forms of multiresistance to up to 4 groups of antimicrobials, such as penicillins, aminoglycosides, fluoroquinolones and even carbapenems [15]. Even though Pantoea agglomerans is a low-virulence pathogen, even in an immunocompromised adult host, it causes a diverse clinical picture and can be successfully treated with the proper use of antibiotics [26]. Nevertheless, Fig. 1. Prevalence of Pantoea agglomerans by animal group (2015–2017). Table 4 Susceptibility of Pantoea spp. strains isolated from animals in period 2015–2017. Antimicrobials Number of examined strains Susceptible Intermediary Resistant Ampicillin 83 74 (89.2 %) 1 (1.2 %) 8 (9.6 %) Amoxicillin/ clavulanic acid 124 115 (92.7 %) 2 (1.6 %) 7 (5.7 %) Cefalexin 125 111 (88.8 %) 014 (11.2 %) Chloramphenicol 71 70 (98.6 %) 0 1 (1.4 %) Tetracycline 129 129 (100 %) 0 0 Neomycin 99 99 (100 %) 0 0 Gentamicin 128 128 (100 %) 0 0 Enrofloxacin 124 124 (100 %) 0 0 *Trimethoprim/ sulfamethoxazole 17 15 (88.2 %) 0 2 (11.8 %) Colistin 37 37 (100 %) 0 0 * Co-trimoxazole. O. Holy et al. One Health 21 (2025) 101130 5
the emergence of resistant strains underscores the potential public health implications, particularly in the context of zoonotic transmission [27,28]. Although Pantoea spp. are rarely reported in association with animal diseases, our study contributes novel insights by documenting their occurrence in diverse animal hosts and organ systems. Notably, over 10 % of isolates were obtained as pure cultures from clinically significant lesions, reinforcing the potential pathogenic role of these organisms in animals. The present study has several limitations that should be acknowledged. The reliance on culture-based methods and MALDI-TOF MS without molecular species confirmation may lead to potential misidentification, particularly in cases involving closely related species or mixed infections. Additionally, the observational design precludes the establishment of causal relationships and may introduce sampling bias, as specimens were collected exclusively from animals exhibiting clinical signs in specific regions of the Czech Republic. As a result, the findings may not be fully generalizable to other geographic areas or to asymptomatic populations. Although Pantoea genus bacteria have been isolated from infections in both animals and humans, the potential for transmission between species remains unclear, and any interpretations in this regard should be made with the utmost caution. Furthermore, the detection of Pantoea spp. in clinical samples does not confirm it as the primary cause of the observed symptoms. The absence of thorough etiological investigations limits the ability to accurately determine causality. Despite these limitations, the study has several notable strengths. It provides valuable baseline data on the prevalence and diversity of Pantoea spp. pathogens in clinically affected animals in Czech Republic, contributing important knowledge to the field of veterinary infectious disease epidemiology. The use of MALDI-TOF MS enabled rapid and cost-effective identification of a wide range of pathogens, demonstrating its practical utility in routine diagnostic settings. In addition, the focus of the study on naturally occurring clinical cases adds ecological relevance and enhances the applicability of the findings to real veterinary practice. Importantly, the identification of potentially zoonotic pathogens highlights the need for integrated surveillance approaches, as the findings may have public health implications through the possible transmission of infectious agents from animals to humans, particularly in agricultural or rural settings. Future research using molecular diagnostics and broader sampling would help to address these limitations and provide a more comprehensive understanding of pathogen distribution. 5. Conclusion The implementation of integrated surveillance systems that include veterinary, clinical and environmental data on Pantoea spp. strains is essential not only to infection control in animals but also to mitigate risks to human populations, highlighting the need for interdisciplinary collaboration to address antimicrobial resistance and ensure public health safety. More detailed work is needed that also maps the genotypic make-up of veterinary origin and the associated ability to produce virulence factors, antimicrobial resistance and other physiological capabilities that influence or are responsible for pathogenicity in animal patients. Originality and prior publication This manuscript is original and has not been published previously nor is it currently under consideration for publication elsewhere, in whole or in part. CRediT authorship contribution statement Ondrej Holy: Writing – original draft, Methodology, Funding acquisition, Formal analysis. Vladimir Sladecek: Writing – original draft, Methodology, Formal analysis. Jaroslav Bzdil: Writing – original draft, Methodology, Investigation, Data curation. Monika Zouharova: Methodology, Formal analysis, Data curation. Julio Parra-Flores: Writing – original draft, Methodology. C´ atia Caneiras: Writing – Fig. 2. Antimicrobial susceptibility and multidrug resistance profiles of Pantoea spp. strains. Legend: CAL – cefalexin, AMP – ampicilin, AMC - amoxicillin/clavulanic acid, COT - sulfamethoxazole/trimethoprim; CHF – chloramphenicol. Table 5 Resistance profile of Pantoea spp. isolated strains. Frequency of resistance by Phenotype of resistance Number of isolates Active substance Antimicrobial group 1 1 CAL 6 2 1 CAL, AMP 1 3 1 CAL, AMP, AMC 5 4 2 CAL, AMP, AMC, COT 1* 5 3 CAL, AMP, AMC, COT, CHF 1* Sum of multidrug – resistant strains 2* Resistance profiles for Pantoea species clinical isolates (n =14); AMP - ampicilin, AMC - amoxicillin/clavulanic acid, CAL - cefalexin, CHF – chloramphenicol, COT - sulfamethoxazole/trimethoprim; *Multidrug resistant isolates, i.e. resistance to ≥2 groups of antimicrobials. O. Holy et al. One Health 21 (2025) 101130 6
original draft, Methodology, Formal analysis, Data curation. Consent for publication All authors consent to the publication of this manuscript in One Health. Ethics The study followed all relevant institutional and national guidelines. Authorship All authors have made substantial contributions to the conception, design, data acquisition, analysis, or interpretation of the work; have participated in drafting or revising the manuscript; and have approved the final version for submission. Funding The work was supported by the project ‘Interdisciplinary Approaches to the Prevention and Diagnosis of Viral Diseases’ (CZ.02.01.01/00/ 23_021/0008856), funded by the European Regional Development Fund (ERDF) under the Johannes Amos Comenius Programme. We also acknowledge support from ERDF/ESF Project TECHSCALE (Grant CZ.02.01.01/00/22_008/0004587). 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