Morganella morganii-associated arthritis in a diabetic patient.
This case report involves a 60-year-old diabetic man who developed septic arthritis as a result of the pathogen Morganella morganii. The patient had complaints of elevated body temperature, malaise, rigors and pain in the left knee, despite no history of trauma. On examination of the knee, erythema, warmth, tenderness and swelling was observed. Arthrocentesis performed on his left knee indicated the presence of straw-coloured, cloudy fluid without crystals. Bacterial identification based on biochemical and automated methods indicated the growth of M morganii. M morganii was also isolated sedimentafrom the exudate of a diabetic ulcer in the left foot, with antibiotic susceptibilities identical to those from the knee effusion. This case indicates that M morganii may be considered as a possible cause of septic arthritis in diabetic patients, especially those with diabetic foot infections.
Cetin
Meryem
M
Medicine Faculty, Department of Microbiology and Clinical Microbiology, Mustafa Kemal University, 31100, Antakya, Hatay, Turkey. meryemcetin55@yahoo.com
Ocak
Sabahattin
S
Kuvandik
Guven
G
Aslan
Bahadir
B
Temiz
Muhyittin
M
Aslan
Ahmet
A
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications* / Q000188:drug therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D020613:Morganella morganii
D000900:Anti-Bacterial Agents