Demiray Tayfur, Aydemir Ozlem Akkaya, Koroglu Mehmet, Ozbek Ahmet, Altindis Mustafa
Department of Clinical Microbiology, Sakarya Research and Training Hospital, Sakarya, Turkey.
Department of Medical Microbiology, School of Medicine, Sakarya University, Sakarya, Turkey.
Iran J Microbiol. 2016 Feb;8(1):70-2.
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.
摩根氏摩根菌很少从医院感染中分离出来。然而，文献中记载了摩根菌属引起的术后感染，且这些感染累及眼部通常会导致严重的后遗症。我们报告了一例严重感染病例，由摩根氏摩根菌亚种摩根氏菌引起，最初表现为结膜炎并并发菌血症。从结膜和后续血培养中分离出感染病原体。使用Vitek 2（®）自动化系统进行鉴定和抗菌药敏试验。分离株对头孢菌素和碳青霉烯类耐药，且具有产生超广谱β-内酰胺酶的能力。根据药敏试验结果，患者通过静脉注射环丙沙星成功治愈。这是首次报告摩根氏摩根菌感染先被检测为局部感染然后并发菌血症的病例。
