title: Morganella morganii-associated arthritis in a diabetic patient.
abstract: 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.
authors.affiliation: Medicine Faculty, Department of Microbiology and Clinical Microbiology, Mustafa Kemal University, 31100, Antakya, Hatay, Turkey. meryemcetin55@yahoo.com
authors.forename: Meryem
authors.initials: M
authors.lastname: Cetin
authors.forename: Sabahattin
authors.initials: S
authors.lastname: Ocak
authors.forename: Guven
authors.initials: G
authors.lastname: Kuvandik
authors.forename: Bahadir
authors.initials: B
authors.lastname: Aslan
authors.forename: Muhyittin
authors.initials: M
authors.lastname: Temiz
authors.forename: Ahmet
authors.initials: A
authors.lastname: Aslan
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents