# Two Cases of Posttraumatic Kosakonia Infection, Argentina, 2023

**Authors:** Claudia Barberis, Maria Sol Haim, Paula Zomero, Germán Traglia, Alejandro Ellis, Roxana Cittadini, Tomás Poklépovich, Marisa Almuzara, Carlos Vay

PMC · DOI: 10.3201/eid3203.251714 · 2026-03-01

## TL;DR

Two cases of plant-related bacterial infections in Argentina were identified using genome sequencing, showing its importance in diagnosing rare pathogens.

## Contribution

Demonstrates the effectiveness of whole-genome sequencing in identifying emerging Kosakonia species in clinical settings.

## Key findings

- Whole-genome sequencing identified K. cowanii and K. oryzae as causative agents.
- Biochemical and MALDI-TOF MS methods had limitations in identifying the pathogens.
- Genomics is crucial for detecting underestimated emerging pathogens.

## Abstract

We describe 2 plant-associated posttraumatic Kosakonia infections in Argentina. Facing biochemical and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry limitations, we used whole-genome sequencing to successfully identify K. cowanii and K. oryzae as the causative agents. Our data highlight the crucial role of genomics in correctly identifying these underestimated emerging pathogens.

## Linked entities

- **Species:** Kosakonia cowanii (taxon 208223), Kosakonia oryzae (taxon 497725)

## Full-text entities

- **Diseases:** supracondylar elbow fracture (MESH:D000092482), Kosakonia infection (MESH:D007239), trauma (MESH:D014947), osteomyelitis (MESH:D010019)
- **Chemicals:** ampicillin (MESH:D000667), carbapenems (MESH:D015780), agar (MESH:D000362), clindamycin (MESH:D002981), CMVA41 (-), ampicillin/sulbactam (MESH:C035444), amoxicillin (MESH:D000658), cefazolin (MESH:D002437), trimethoprim/sulfamethoxazole (MESH:D015662), ciprofloxacin (MESH:D002939), lactose (MESH:D007785), cephalosporin (MESH:D002511), vancomycin (MESH:D014640), fluoroquinolones (MESH:D024841), aminoglycosides (MESH:D000617), piperacillin/tazobactam (MESH:D000077725)
- **Species:** Homo sapiens (human, species) [taxon 9606], Enterobacter cloacae complex (species group) [taxon 354276], Kosakonia radicincitans (species) [taxon 283686], Enterobacter cloacae (species) [taxon 550], Pantoea (genus) [taxon 53335], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Kosakonia (genus) [taxon 1330547], Kosakonia cowanii (NIH group 42, species) [taxon 208223]
- **Cell lines:** CVMA47 — Mus musculus (Mouse), Hybridoma (CVCL_L675)

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC13016020/full.md

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Source: https://tomesphere.com/paper/PMC13016020