Morganella morganii-associated arthritis in a diabetic patient

Cetin M., OCAK S., Kuvandik G., Aslan B., TEMİZ M., Aslan A.

Advances in Therapy, cilt.25, sa.3, ss.240-244, 2008 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 3
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1007/s12325-008-0026-x
  • Dergi Adı: Advances in Therapy
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.240-244
  • Anahtar Kelimeler: Diabetes mellitus, Morganella morganii, Septic arthritis
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

This case report involves a 60-year-old diabetic man who developed septic arthritis as a result of the pathogen Morganella morganii. The patient had complaints of elevated body temperature, malaise, rigors and pain in the left knee, despite no history of trauma. On examination of the knee, erythema, warmth, tenderness and swelling was observed. Arthrocentesis performed on his left knee indicated the presence of straw-coloured, cloudy fluid without crystals. Bacterial identification based on biochemical and automated methods indicated the growth of M morganii. M morganii was also isolated sedimentafrom the exudate of a diabetic ulcer in the left foot, with antibiotic susceptibilities identical to those from the knee effusion. This case indicates that M morganii may be considered as a possible cause of septic arthritis in diabetic patients, especially those with diabetic foot infections. © Springer Healthcare Communications 2008.