Morganella morganii: a newly reported, rare cause of neonatal sepsis

Acad Emerg Med. 1997 Jul;4(7):711-4. doi: 10.1111/j.1553-2712.1997.tb03765.x.

Abstract

This case report reviews the clinical course of an 11-day-old boy who developed late-onset neonatal sepsis secondary to a rare neonatal pathogen, Morganella morganii. This gram-negative enteric bacterium, within the Enterobacteriaceae family, has most commonly been a nosocomial pathogen in debilitated, postsurgical patients. Like many other Enterobacteriaceae, M. morganii has an inducible beta-lactamase and is resistant to multiple antibiotics. When caring for neonates with culture-proven M. morganii sepsis, the authors recommend administering both a third-generation cephalosporin and an aminoglycoside to ensure that both antibiotics are bactericidal and to reduce the induction of resistance.

Publication types

  • Case Reports

MeSH terms

  • Aminoglycosides
  • Ampicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Cefotaxime / therapeutic use
  • Cephalosporins / therapeutic use
  • Drug Resistance, Multiple
  • Enterobacteriaceae Infections / drug therapy
  • Enterobacteriaceae Infections / microbiology*
  • Enterobacteriaceae* / drug effects
  • Enterobacteriaceae* / isolation & purification
  • Humans
  • Infant, Newborn
  • Male
  • Microbial Sensitivity Tests
  • Penicillins / therapeutic use
  • Sepsis / drug therapy
  • Sepsis / microbiology*

Substances

  • Aminoglycosides
  • Anti-Bacterial Agents
  • Cephalosporins
  • Penicillins
  • Ampicillin
  • Cefotaxime