RRML - Acute community-acquired meningoencephalitis with Morganella morganii – a case report
AMLR

ISSN online: 2284-5623

ISSN-L: 1841-6624

Rejection rate (2020): 75%

Română English


Journal Metrics

Impact Factor 0.5
Five Year Impact Factor 0.5
JCI 0.12


Advanced search


Top 10 downloaded articles
- February 2024 -
 
Anti-thyroid peroxidase (TPO) ... 18
Romanian Review of Laboratory ... 17
Recomandarea comună EFLM-COLA... 13
Approaching Risk Management in... 12
Identification of shared hub g... 12
Challenges in prophylactic the... 12
Monocyte to high-density lipop... 9
Atellica CH 930 chemistry anal... 8
Setting up an own laboratory p... 7
Understanding the key differen... 7

Log in

Concept, Design & Programming
Dr. Adrian Man

   
 
Nr. 23(3)/2015 DOI:10.1515/rrlm-2015-0031
XML
TXT

Acute community-acquired meningoencephalitis with Morganella morganii – a case report

Brindusa Tilea, Edit Szekely, Simona Teches, Ioan Tilea


Abstract:

Morganella morganii (M. morganii) is a Gram-negative aerobic and facultative anaerobic rod, belonging to the Enterobacteriaceae family. This pathogen is uncommon in community-acquired infections, most often being found in postoperative nosocomial and urinary tract infections. Infection of the central nervous system with this pathogen is rare. We present the case of a 66-year-old patient who underwent colon cancer surgery, chemotherapy and radiotherapy, had left iliac anus, type 2 diabetes and developed acute meningoencephalitis caused by M. morganii. Cerebrospinal fluid examination revealed increased number of polymorphonuclear neutrophils, modified biochemistry and AmpC beta-lactamase producing M. morganii strain. After initiation of antibiotic treatment, initially with empirical therapy represented by meropenem and vancomycin, afterwards adjusted to meropenem and ciprofloxacin, according to the stain’s susceptibility to antimicrobials the patient’s evolution was favourable, in spite of the existence of two immune suppressing conditions.

Keywords: meningoencephalitis, M. morganii, immunosuppression, antibiotic therapy

Received: 15.4.2015
Accepted: 8.8.2015
Published: 10.9.2015

 
  PDF Download full text PDF
(362 KB)
     
 
How to cite
Tilea B, Szekely E, Teches S, Tilea I. Acute community-acquired meningoencephalitis with Morganella morganii – a case report. Rev Romana Med Lab. 2015;23(3):333-40. DOI:10.1515/rrlm-2015-0031