ReviewBMC infectious diseases2020
Identification of Kosakonia cowanii as a rare cause of acute cholecystitis: case report and review of the literature.
Review in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Draft genome sequence ofMicrobiology resource announcements · 2026Article
- Microbiological Characterization of Baru Nuts From the Cerrado Biome, Brazil.Journal of food science · 2026Article
- Two Cases of Posttraumatic Kosakonia Infection, Argentina, 2023.Emerging infectious diseases · 2026Article
- Phenotypic and comparative genomic characterization of a human biliary-derivedFrontiers in microbiology · 2026Article
- Whole genome sequencing dataset ofData in brief · 2025Article
- Bacterial skin infection caused by a plant pathogen Kosakonia cowanii: identification with the MALDI Biotyper sirius one and susceptibility testing.Access microbiology · 2025Article
- Combination of the gut microbiota and clinical indicators as a potential index for differentiating idiopathic membranous nephropathy and minimal change disease.Renal failure · 2023Article
- Complete genome sequence ofMicrobiology resource announcements · 2023Article
- Volatile Organic Compounds Produced byMicroorganisms · 2023Article
- Article
- Occurrence of Antibiotic Resistant Bacteria in Flours and Different Plant Powders Used in Cuisine.Foods (Basel, Switzerland) · 2022Article
- AreFoods (Basel, Switzerland) · 2022Article
- Insights into the Bacterial Diversity and Detection of Opportunistic Pathogens in Mexican Chili Powder.Microorganisms · 2022Article
- Novel Viruses That Lyse Plant and Human Strains ofViruses · 2021Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKosakonia cowanii, formerly known as Enterobacter cowanii, is a Gram-negative bacillus belonging to the order Enterobacterales. The species is usually recognized as a plant pathogen and has only anecdotally been encountered as a human pathogen. Here we describe the rare case of a K. cowanii infection presenting as an acute cholecystitis and provide a review of available literature. Evident difficulties in species identification by biochemical profiling suggests that potentially, K. cowanii might represent an underestimated human pathogen. CASE PRESENTATION: A 61-year old immunocompromised man presented to the hospital with fever and pain in the upper right abdomen. Sonography revealed an inflamed gall bladder and several gall stones. A cholecystectomy proved diagnosis of an acute cholecystitis with a partial necrosis of the gall bladder. Surgical specimen grew pure cultures of Gram-negative rods unambiguously identified as K. cowanii by MALDI-TOF, 16S-rRNA analysis and whole genome sequencing.
conclusionsReporting cases of Kosakonia species can shed light on the prevalence and clinical importance of this rare cause of human infection. Our case is the first to describe an infection without prior traumatic inoculation of the pathogen from its usual habitat, a plant, to the patient. This raises the question of the route of infections as well as the pathogen's ability to colonize the human gut.
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