A severe Morganella morganii endophthalmitis; followed by bacteremia.
Morganella morganii is rarely isolated from nosocomial infections. However, postoperative infections due to Morganella spp. were documented in literature and eye involvements of the infections usually result in severe sequels. We present a severe case infection, which was caused by M. morganii subsp. morganii, firstly appearing as conjunctivitis and complicated by bacteremia. The infectious agent isolated from both conjunctival and consecutive blood cultures. Identification and antimicrobial susceptibility tests were performed with the Vitek 2(®) automated system. The isolate was resistant to cephalosporins and carbapenems and it had ability to produce extended spectrum beta-lactamases. Patient was successfully treated with intravenous ciprofloxacin according to susceptibility test results. This is the first report of M. morganii infection detected as a local infection then complicated by bacteremia.
Department of Clinical Microbiology, Sakarya Research and Training Hospital, Sakarya, Turkey.
Tayfur
T
Demiray
Department of Clinical Microbiology, Sakarya Research and Training Hospital, Sakarya, Turkey.
Ozlem Akkaya
OA
Aydemir
Department of Medical Microbiology, School of Medicine, Sakarya University, Sakarya, Turkey.
Mehmet
M
Koroglu
Department of Medical Microbiology, School of Medicine, Sakarya University, Sakarya, Turkey.
Ahmet
A
Ozbek
Department of Medical Microbiology, School of Medicine, Sakarya University, Sakarya, Turkey.
Mustafa
M
Altindis
Bacteremia; Ciprofloxacin; Conjunctivitis; Morganella morganii