Ovalle Alfredo, Martínez M Angélica, Kakarieka Elena, García Mirna, Salinas Abril
Servicio y Departamento de Obstetricia, Ginecología y Neonatología, Hospital San Borja Arriarán, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2009 Sep;137(9):1201-4.
We report a term neonate who developed early-onset sepsis due to Morganella morganii. The child was vaginally delivered after a short labor, and presented signs of perinatal asphyxia. Blood cultures taken soon after birth and from mother's lochia were positive for this microorganism. The infection was unresponsive to treatment with cefotaxime, to which the microorganism was susceptible, and the infant died at 17 days of age. M morganii is an opportunistic and uncommon pathogen, causing disease mainly in patients with underlying illness or after surgery. It is a rare perinatal pathogen, causing severe disease in premature infants, in association with maternal chorioamnionitis and premature rupture of the membranes.
我们报告了一名足月儿，其因摩根摩根菌感染而发生早发性败血症。该患儿经短暂产程后经阴道分娩，出现围产期窒息迹象。出生后不久采集的血培养物以及母亲恶露的培养物中该微生物呈阳性。感染对头孢噻肟治疗无反应，而该微生物对头孢噻肟敏感，婴儿于17日龄时死亡。摩根摩根菌是一种机会性且不常见的病原体，主要在有基础疾病的患者或手术后引发疾病。它是一种罕见的围产期病原体，与产妇绒毛膜羊膜炎和胎膜早破相关，可在早产儿中引起严重疾病。
