Morganella morganii osteomyelitis complicated by secondary septic knee arthritis: a case report.

Morganella morganii is a gram-negative, facultative anaerobic bacillus whose natural habitat is the gastrointestinal system. While it rarely causes infection alone, it is generally encountered in people with suppressed immunity and in cases of hospital infection. It may also manifest itself as a superinfection. Morganella morganii often demonstrates a course characterized by slow-paced progression with occasional attacks and remissions. Osteoarticular pathologies are not commonly observed in Morganella morganii infections and it has a high mortality rate. We present a 56-year-old male patient with Morganella morganii osteomyelitis in the distal femur and proximal tibia, complicated by septic arthritis in the knee joint.

[1]  A. Aslan,et al.  Morganella morganii-associated arthritis in a diabetic patient , 2008, Advances in therapy.

[2]  Jien-Wei Liu,et al.  Clinical characteristics and risk factors for mortality in Morganella morganii bacteremia. , 2006, Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi.

[3]  M. Deutsch,et al.  Morganella morganii-associated acute osteomyelitis in a patient with diabetes mellitus , 2006 .

[4]  A. Smithson Amat,et al.  [Osteomyelitis of the rib due to Morganella morganii]. , 2004, Anales de medicina interna.

[5]  A. Olivé,et al.  [Morganella morgagnii septic arthritis]. , 2002, Medicina clinica.

[6]  J. Miller,et al.  Classification, Identification, and Clinical Significance of Proteus, Providencia, and Morganella , 2000, Clinical Microbiology Reviews.

[7]  D. Robinson,et al.  Treatment of staphylococcal septic arthritis in rabbits by systemic antibiotics and intra-articular corticosteroids , 1998, Annals of the rheumatic diseases.

[8]  D. Goldenberg,et al.  Septic arthritis , 1998, The Lancet.

[9]  D. Robinson,et al.  Experimental septic arthritis in rabbits treated by a combination of antibiotic and steroid drugs. , 1996, Clinical and experimental rheumatology.

[10]  S. Abbott,et al.  Biochemical investigations of biogroups and subspecies of Morganella morganii , 1996, Journal of clinical microbiology.

[11]  U. Aydınlı,et al.  Results of treatment methods in the long term of experimental septic arthritis , 1993 .

[12]  F. Orson,et al.  Chronic Morganella morganii arthritis in an elderly patient , 1988, Journal of clinical microbiology.

[13]  D. Borenstein,et al.  Successful joint arthroplasty following Proteus morganii (Morganella morganii) septic arthritis: a four-year study. , 1987, Arthritis and rheumatism.