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
- May 2024 -
 
A comprehensive review of Prof... 30
Romanian Review of Laboratory ... 17
The role of nitro oxidative fa... 16
Effect of Systemic Inflammator... 16
Diagnostic value of stress myo... 15
Evaluation of routine laborato... 14
Correlations of expressions of... 13
Monitoring the sensitivity of ... 12
Evaluation of cytotoxicity and... 11
Recomandarea comună EFLM-COLA... 10

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