Morganella morganii osteomyelitis affecting both great toes – A rare case report

Sunil Nikose, Pradeep K Singh, Sohael Khan, Devashree Nikose, Mahendra Gudhe, Tamnay Dua

Abstract


The Morganella Morganii infection is very uncommon in current orthopaedics practice. It is mainly been known to cause nosocomial infections and infections in immunocompromised individuals, especially related to the urinary tract. Orthopaedic infections by this organism are rare and typically affects the joints and bone infections are reported in late findings during the course of infection. However the possibility of such a rare infection cannot be ignored.  Morganella Morganii osteomyelitis has been known for its delayed course of involvement in the bone and subsequent destruction of it, which usually takes a chronic course. Sometimes, heavy growth of Morganella Morganii causes septicaemia and death in individuals who are in an immunocompromised state. We hereby report a child who developed a Morganella Morganii infection of the distal phalanx of the great toe with relatively early destruction and resorption of the bone, probably secondary to soft tissue infection surrounding the bone in an otherwise healthy child. The principles of management for effective eradication of such infection remain serial debridement as necessary and appropriate antibiotics for at least six weeks.

References


Oztuna V. Pathophysiology of osteomyelitis and treatment principles. [Article in Turkish] TOT-BID Journal 2005;4:63-71.

O’Hara CM, Brenner FW, Miller JM. Classifica-tion, identification, and clinical significance of Proteus, Providencia, and Morganella. Clin Mi-crobiol Rev. 2000;13:534-46.

Janda JM, Abbott SL, Khashe S, Robin T. Bio-chemical investigations of biogroups and subspecies of . J Clin Microbiol. 1996;34:108-13.

Katz LM, Lewis RJ, Borenstein DG. Successful joint arthroplasty following Proteus morganii () septic arthritis: a four-year study. Arthritis Rheum. 1987;30: 583-5.

Cetin M, Ocak S, Kuvandik G, Aslan B, Temiz M, Aslan A. -associated arthritis in a diabetic patient. Adv Ther. 2008;25:240-4.

Lee IK, Liu JW. Clinical characteristics and risk factors for mortality in bacteremia. J Microbiol Immunol Infect. 2006;39:328-34.

Koyuncu Ş, Ozan F. osteomyelitis complicated by secondary septic knee arthritis: a case report. Acta Orthop Traumatol Turc. 2012;46(6):464-467


Refbacks

  • There are currently no refbacks.